OLUBUKUNOLA ADESANYA


Address: 1400 S Coulter St, Amarillo, TX 79106-1786
Phone: 8063545630

OLUBUKUNOLA ADESANYA (NPI# 1447356803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447356803
Entity Type Individual
Full Name OLUBUKUNOLA ADESANYA
Credential MD
Practice Address 1400 S Coulter St
Amarillo
TX 79106-1786
Mailing Address 1400 Wallace Blvd
Attn: Credentialing Dept
Amarillo
TX 79106-1708
Practice Telephone 8063545630
Practice Fax Number 8063545689
Mailing Telephone 8063545630
Mailing Fax Number 8063545689
Enumeration Date 2006-09-15
Last Update Date 2013-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
N4234 TX Allopathic & Osteopathic Physicians
N 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
2003-0634 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM BXBS PHYSICIAN NM009K99 01
NM 47426781 05
TX 220514801 05
TX 220514802 05
OK 200340390 A 05

Office Location

Street Address 1400 S COULTER ST
City AMARILLO
State TX
Zip Code 79106-1786

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710980057 Jack D Waller Specialist 1400 S Coulter St, Amarillo, TX 79106-1786 2005-05-31
1992311385 Karlyn Hood Pharmacist 1400 S Coulter St, Amarillo, TX 79106-1786 2020-09-21
1083225866 Roa Ali Eliyan Bashtawi Student in an Organized Health Care Education/Training Program 1400 S Coulter St, Amarillo, TX 79106-1786 2020-08-13
1063040020 Mohammed Adib Tanbir Student in an Organized Health Care Education/Training Program 1400 S Coulter St, Amarillo, TX 79106-1786 2020-03-27
1558998898 Joshua Anthony Sorenson Student in an Organized Health Care Education/Training Program 1400 S Coulter St, Amarillo, TX 79106-1786 2020-03-26
1740815943 Udhaya Aelety Student in an Organized Health Care Education/Training Program 1400 S Coulter St, Amarillo, TX 79106-1786 2020-03-08
1831720341 Nicole Moreno Pharmacist 1400 S Coulter St, Amarillo, TX 79106-1786 2020-02-03
1891347399 Baptist Saint Anthony Health System Student in an Organized Health Care Education/Training Program 1400 S Coulter St, Amarillo, TX 79106-1786 2019-07-15
1134771645 Daniyah Ali Elagi Student in an Organized Health Care Education/Training Program 1400 S Coulter St, Amarillo, TX 79106-1786 2019-07-15
1861055782 Jankikeerthika Muthukaruppan Dharmarpandi Student in an Organized Health Care Education/Training Program 1400 S Coulter St, Amarillo, TX 79106-1786 2019-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773205 Nisha Patel Pharmacist 1600 S Western Street, Amarillo, TX 79106 2020-09-01
1043851769 Diana Moore Pharmacist 6010 Amarillo Blvd W (119), Amarillo, TX 79106 2019-10-03
1164988127 Wade Family Services Pllc Counselor 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 2019-02-14
1255802963 Jennifer Cockrum Hospitalist Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 2018-12-07
1346736691 Denise Mills Donnell Social Worker 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 2018-07-10
1124525472 Abigail Batson Student in an Organized Health Care Education/Training Program 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 2018-04-11
1053812743 Moc Amarillo, LLC Skilled Nursing Facility 1540 Research St., Amarillo, TX 79106 2018-02-27
1013459437 Larry G. Schulz Durable Medical Equipment & Medical Supplies 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 2016-11-16
1922453315 Omar Saeed M Alzhrani Student in an Organized Health Care Education/Training Program 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 2016-05-04
1972967529 David Wayne Hohon Internal Medicine Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 2016-04-11
Find all providers in zip 79106

Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720019359 Evanthia Biskinis Pediatrics 1400 Coulter, Amarillo, TX 79106-1786 2006-07-05
1932102431 Agha Zia Haider Pediatrics 1600 Wallace Blvd, Nicu, 2nd Floor, Amarillo, TX 79106 2005-05-27
1578797650 Kelly Eileen Clements Pediatrics 1600 Wallace Blvd, Nicu, Amarillo, TX 79106-1799 2009-05-05
1861423568 Joyce Chuachingco Pediatrics 1400 S Coulter St, Amarillo, TX 79106-1786 2006-07-05
1619979473 Muhammad Subhani Pediatrics 1400 S Coulter St, Amarillo, TX 79106-1786 2005-08-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699233510 Allison Claire Arbilo Pediatrics 6431 Fannin St # 3.254, Houston, TX 77030-1501 2019-03-10
1619469343 Deulofeut Physician Services Pllc Pediatrics 1924 Pine St Ste 401b, Abilene, TX 79601-2452 2018-05-30
1801303979 Gulf Coast Neonatology, Pllc Pediatrics 5920 Saratoga Blvd Ste 450, Corpus Christi, TX 78414-4124 2018-01-10
1023522331 Richard Michael Rodriguez Pediatrics 2205 Concord Pl, Brownsville, TX 78520-3984 2017-11-22
1306266200 Carlos A Laos, Md, Pa Pediatrics 25 Cochran Oaks Ln, Dallas, TX 75220-7811 2014-04-18
1225451032 Sherlene Annette Dreyer Pediatrics 5000 Montrose Blvd Unit 19b, Houston, TX 77006-6564 2014-01-29
1154752418 Dolores Carruth Pediatrics 2510 Skyline Dr, Irving, TX 75038-5819 2013-12-11
1891033981 Lisa Jensen Mitchell Pediatrics Carl R. Darnall Medical Center, 2608 Marlin Dr, Killeen, TX 76543-2773 2013-01-23
1780940940 Harashada Luhar Pediatrics 4707 Circle Oak Cv, Austin, TX 78749-2302 2012-04-02
1689954794 Dharmendra Kumar Pediatrics Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 2011-08-19
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Competitor

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City AMARILLO
Zip Code 79106

Improve Information

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Dataset Information

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.

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