DR. ENAKEME STELLA DOGUN


Address: 5000 Woodland Ave, Philadelphia, PA 19143
Phone: 2157269807

DR. ENAKEME STELLA DOGUN (NPI# 1477649135) 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) 1477649135
Entity Type Individual
Full Name DR. ENAKEME STELLA DOGUN
Credential MD
Practice Address 5000 Woodland Ave
Philadelphia
PA 19143
Mailing Address 1401 S 31st St Fl 2
Philadelphia
PA 19146-3506
Practice Telephone 2157269807
Mailing Telephone 2159252400
Mailing Fax Number 2159259162
Enumeration Date 2006-10-04
Last Update Date 2019-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics MD050008L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 0014240900014 05
PA 001424090002 05
PA 0014240900015 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
5000 Woodland Ave, Philadelphia, PA 19143 2157269807

Office Location

Street Address 5000 WOODLAND AVE
City PHILADELPHIA
State PA
Zip Code 19143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659344695 Jeffrey Dunbar Family Medicine 5000 Woodland Ave, Philadelphia, PA 19143-5137 2006-02-09
1225683675 Sara Karju Belle Nurse Practitioner 5000 Woodland Ave, Philadelphia, PA 19143-5137 2019-08-02
1336704436 Vilsy Thekkan Nurse Practitioner 5000 Woodland Ave, Philadelphia, PA 19143-5137 2019-05-03
1003380312 Tenera Styles Counselor 5000 Woodland Ave, Philadelphia, PA 19143-5137 2019-01-20
1518437615 Nicole Marie Hartman Nurse Practitioner 5000 Woodland Ave, Philadelphia, PA 19143-5137 2018-11-30
1164965885 Janine Layendecker Nurse Practitioner 5000 Woodland Ave, Philadelphia, PA 19143-5137 2016-11-29
1205249208 Hanna Rose Mabry Advanced Practice Midwife 5000 Woodland Ave, Philadelphia, PA 19143-5137 2014-06-06
1013329366 Sara' Fleming-donley Dietetic Technician, Registered 5000 Woodland Ave, Philadelphia, PA 19143-5137 2014-05-21
1760801898 Leeann Tanaka Family Medicine 5000 Woodland Ave, Philadelphia, PA 19143-5137 2014-04-16
1679997548 Kristin Melli Nurse Practitioner 5000 Woodland Ave, Philadelphia, PA 19143-5137 2014-02-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215554142 Trusted Hands Care Professionals LLC In Home Supportive Care 1130 South Paxon Street, Philadelphia, PA 19143 2020-06-26
1477189140 Kareemah Anjail Abdullah Counselor 5307 Chelen Ave, Philadelphia, PA 19143 2020-03-13
1336604024 Mohamed Keita Non-emergency Medical Transport (VAN) 5030 Warrington Avenue, Philadelphia, PA 19143 2019-02-06
1366924011 Whitney Tamika Carter Specialist/Technologist 5526 Ridgewood St, Philadelphia, PA 19143 2018-08-29
1639662190 Mattew Muchnick Physical Therapist 4730 Hazel Ave 2r, Philadelphia, PA 19143 2018-06-10
1750883062 Optimal Support for Everyday Lives Case Management 5800 Springfield Avenue, Philadelphia, PA 19143 2018-03-02
1205352671 New Visions Case Management & Consulting, LLC Social Worker 726 S 55th Street, Philadelphia, PA 19143 2017-08-17
1104342583 Mercy Management of Southeastern Pennsylvania Orthopaedic Surgery 501 S 54th St Ste 28, Phila, PA 19143 2017-08-17
1093238388 Blessed Hands Home Care Agency L.L.C. Home Health 433 S. 57th Street, Phila, PA 19143 2017-07-19
1891216529 Ashley Seiver Occupational Therapist 923 S. 46th Street, Philadelphia, PA 19143 2017-07-03
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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/certificatio
- 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
1861036279 Stc Pediatrics LLC Pediatrics 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 2019-10-30
1447818729 Elizabeth Edmondston Tarr Pediatrics 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 2019-06-03
1245799337 Jerry Martin Kaplan Pediatrics 2421 Fairmount Ave, Philadelphia, PA 19130-2517 2019-03-18
1992299861 Gayathri Prabhakar Pediatrics 3401 Civic Center Blvd 9nw, Rm 55, Philadelphia, PA 19104-4319 2018-06-14
1992298004 Daniel Rappoport Pediatrics 3401 Civic Center Boulevard, 9nw, Room 55, Philadelphia, PA 19104-4399 2018-06-13
1376069567 Childrens Hospital of Philadelphia Pediatrics 3401 Civic Center Blvd Fl 4, Philadelphia, PA 19104-4319 2017-08-18
1558881581 Isabel Cristina Castillo Hernandez Pediatrics 4500-10, Apt 201b, Philadelphia, PA 19124 2017-06-21
1891225694 Joshua Hruby Sperling Pediatrics 3401 Civic Center Boulevard 9nw, Room 55, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399 2017-06-14
1124558911 Salvatore Charles Rametta Pediatrics 3401 Civic Center Boulevard Building 9nw Room 55, Children's Hospital of Philadelphia, Philadelphia, PA 19104 2017-06-14
1922536952 Alyssa Coffin Pediatrics 3401 Civic Center Blvd Fl 9nw, Philadelphia, PA 19104-4319 2017-06-03
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Competitor

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City PHILADELPHIA
Zip Code 19143

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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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