THEOPHILUS O OLUMESE (NPI# 1477821106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477821106 |
| Entity Type | Individual |
| Full Name | THEOPHILUS O OLUMESE |
| Credential | MD |
| Practice Address |
3506 21st St Suite 605 Lubbock TX 79410-1212 |
| Mailing Address |
3420 22nd Pl Lubbock TX 79410-1314 |
| Practice Telephone | 8067254130 |
| Practice Fax Number | 8067237137 |
| Mailing Telephone | 8067255844 |
| Mailing Fax Number | 8067236532 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2012-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | P3948 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3506 21ST ST SUITE 605 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849419 | Kenneth Edward Kruczek | Internal Medicine | 3506 21st St, Suite 605, Lubbock, TX 79410-1212 | 2005-05-23 |
| 1134661358 | Fred Gregory Sebastian Iv | Physician Assistant | 3506 21st St, Suite 507, Lubbock, TX 79410-1212 | 2016-11-07 |
| 1295284396 | Caitlin Sarah Blair | Nurse Practitioner | 3506 21st St, Ste 607, Lubbock, TX 79410-1212 | 2016-09-29 |
| 1851744957 | Brandy Gilbrett Trevino | Nurse Practitioner | 3506 21st St, Ste. 507, Lubbock, TX 79410-1212 | 2016-07-13 |
| 1366848541 | Gabriella Trevino Davis | Nurse Practitioner | 3506 21st St, Lubbock, TX 79410-1212 | 2014-11-14 |
| 1760817324 | Monica Caraveo Pilip | Nurse Practitioner | 3506 21st St, Suite 203, Lubbock, TX 79410-1212 | 2013-09-13 |
| 1770829012 | Susan Doctolero | Nurse Practitioner | 3506 21st St, Suite 302, Lubbock, TX 79410-1212 | 2012-12-13 |
| 1164798989 | Amy D'ann Gordon | Nurse Practitioner | 3506 21st St, Suite 607, Lubbock, TX 79410-1212 | 2012-03-27 |
| 1164791257 | Sharronda Richawn Bradford | Nurse Practitioner | 3506 21st St, Suite605, Lubbock, TX 79410-1212 | 2011-12-20 |
| 1831484831 | Katie L. Hendley | Psychiatry & Neurology | 3506 21st St, Suite 400, Lubbock, TX 79410-1212 | 2011-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881608040 | Lara W. Johnson | Hospitalist | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2006-07-27 |
| 1427611854 | South Central Physicians Pllc | Hospitalist | 1602 Avenue Q, Lubbock, TX 79401-4732 | 2019-04-22 |
| 1932620119 | Sonia Joseph Durham | Hospitalist | 3601 4th St Stop 9406, Lubbock, TX 79430-9406 | 2017-06-28 |
| 1699205682 | Rebekah L Wells | Hospitalist | 602 Indiana Ave, Lubbock, TX 79415 | 2017-06-13 |
| 1396156857 | Caleb John Cook | Hospitalist | 4015 22nd Pl, Lubbock, TX 79410 | 2014-05-17 |
| 1730476052 | Ngozi Eboh | Hospitalist | 4015 22nd Pl, Lubbock, TX 79410 | 2011-07-07 |
| 1093009631 | Shaughn Michael Nunez | Hospitalist | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2011-05-31 |
| 1164736955 | Khaled Ali B Sherif | Hospitalist | 3615 19th St, Box 162, Lubbock, TX 79410-1203 | 2010-08-04 |
| 1528389061 | Audra Bowman | Hospitalist | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2010-06-18 |
| 1578889051 | Summer Danielle Davies | Hospitalist | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2010-04-09 |
| Find all providers in LUBBOCK | ||||
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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.