OLUYEMISI R. SANGODEYI (NPI# 1487651717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487651717 |
| Entity Type | Individual |
| Full Name | OLUYEMISI R. SANGODEYI |
| Credential | M.D. |
| Practice Address |
379 Stanaford Rd Beckley WV 25801-3141 |
| Practice Telephone | 3042533000 |
| Practice Fax Number | 3042557884 |
| Mailing Telephone | 3042533000 |
| Mailing Fax Number | 3042557884 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2018-01-28 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 21942 | WV | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 21942 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810016416 | 05 |
| Street Address |
379 STANAFORD RD |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073071627 | Donna Miller | Social Worker | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2019-03-03 |
| 1770052268 | Miles Flint Puckett | Specialist/Technologist, Other | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2018-11-14 |
| 1194200147 | Stephanie Diane Lilly | Nurse Practitioner | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2018-09-26 |
| 1063943678 | Med Surg Physician Group, Inc. | Specialist | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2017-03-24 |
| 1104368505 | Med Surg Group, Inc. | Clinic/Center | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2016-11-16 |
| 1164822987 | Kelly Lynne Matherly | Nurse Practitioner | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2014-08-28 |
| 1003127432 | Ahmad Eter | Internal Medicine | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2010-06-30 |
| 1326069170 | Med-surg Group Incorporated | Family Medicine | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2006-07-21 |
| 1821029190 | Judith K. Mckinney | Nurse Practitioner | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2006-07-05 |
| 1427086727 | Barry Alan Levin | Orthopaedic Surgery | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417476920 | Raleigh General Hospital LLC | Surgery | 1717 Harper Rd Ste Ab, Beckley, WV 25801-3373 | 2017-09-15 |
| 1518082395 | Bandy B. Mullins, Md, Pllc | Surgery | 404 Carriage Dr, Beckley, WV 25801-2806 | 2007-03-20 |
| 1407965668 | Brian R Whyte | Surgery | 122 George St, Beckley, WV 25801-2608 | 2006-08-30 |
| 1831133818 | Rajendra Pratap Singh | Surgery | 201 Woodcrest Dr, Beckley, WV 25801-3633 | 2006-06-16 |
| 1700849262 | Elias H Isaac | Surgery | 1828 Harper Rd, Beckley, WV 25801-3366 | 2006-04-07 |
| 1407840549 | Bose S. Mikkilineni | Surgery | 419 Carriage Dr, Beckley, WV 25801-2805 | 2005-09-05 |
| 1255804381 | Appalachian Surgical Group | Surgery | 250 Stanaford Rd, Beckley, WV 25801-3140 | 2019-01-11 |
| 1629548664 | Cm Oneal Md Inc | Surgery | 122 George St, Beckley, WV 25801-2608 | 2018-12-03 |
| 1023438868 | Sarang Kashyap | Surgery | 250 Stanaford Rd, Beckley, WV 25801-3140 | 2014-04-20 |
| 1659790707 | Oluwabukola Christiana Olatubosun | Surgery | 1717 Harper Rd Fl 2, Beckley, WV 25801-3373 | 2014-04-15 |
| Find all providers in BECKLEY | ||||
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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.