OLUBUSOLA AMIOLA (NPI# 1437503323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437503323 |
| Entity Type | Individual |
| Full Name | OLUBUSOLA AMIOLA |
| Credential | M.D |
| Practice Address |
648 Crestwood Blvd Covington LA 70433-8261 |
| Practice Telephone | 9858052555 |
| Practice Fax Number | 9854005303 |
| Mailing Telephone | 9858052555 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
322669 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
648 CRESTWOOD BLVD |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-8261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043672934 | Alexander Richerand | Physical Medicine & Rehabilitation | 648 Crestwood Blvd, Covington, LA 70433-8261 | 2016-03-22 |
| 1730793787 | Hannah Alise Anzalone | Physician Assistant | 648 Crestwood Blvd, Covington, LA 70433-8261 | 2020-09-06 |
| 1710597216 | Alexandra A Adair | Nurse Practitioner | 648 Crestwood Blvd, Covington, LA 70433-8261 | 2020-08-09 |
| 1265041503 | Hillary Harper Stennis | Occupational Therapist | 648 Crestwood Blvd, Covington, LA 70433-8261 | 2020-07-22 |
| 1497370225 | Mary Mcmahon | Speech-Language Pathologist | 648 Crestwood Blvd, Covington, LA 70433-8261 | 2020-06-08 |
| 1093338006 | Paula Mayer Thomas | Nurse Practitioner | 648 Crestwood Blvd, Covington, LA 70433-8261 | 2020-05-26 |
| 1992327472 | Rebecca Aleme | Nurse Practitioner | 648 Crestwood Blvd, Covington, LA 70433-8261 | 2020-05-07 |
| 1770122541 | Bridget A Landry | Physical Therapist | 648 Crestwood Blvd, Covington, LA 70433-8261 | 2019-12-27 |
| 1679110977 | Christine Evans | Nurse Practitioner | 648 Crestwood Blvd, Covington, LA 70433-8261 | 2019-12-05 |
| 1447805064 | William Blackburn | Speech-Language Pathologist | 648 Crestwood Blvd, Covington, LA 70433-8261 | 2019-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154404275 | Intra-op Monitoring Services, LLC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2006-10-23 |
| 1447549746 | New Jersey Neurophysiological Monitoring Serivces, PC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| 1578852869 | New York Neurophysiological Monitoring Services, PC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| 1649569930 | Texas Teleneuromonitoring Serivces, Pa | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| 1265721559 | Georgia Neurophysiological Monitoring Services, PC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| 1164711941 | Neuraxis Physician Services, LLC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-01 |
| 1497906671 | Neuro Physiological Services of New York | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433-7208 | 2008-10-06 |
| 1336399062 | Texas Neuro Physiological Associates, P.a. | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433-7208 | 2008-09-30 |
| 1184874810 | Neuro Physiological Associates of New Jersey, P.C. | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433-7208 | 2008-09-30 |
| 1750531471 | Neuro Physiological Associates of Georgia, P.C. | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433-7208 | 2008-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.