DEJI O OKUBOYE (NPI# 1528196227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528196227 |
| Entity Type | Individual |
| Full Name | DEJI O OKUBOYE |
| Credential | D.O. |
| Practice Address |
50 Macedonia Church Road Taylorsville NC 28681-8414 |
| Mailing Address |
Po Box 890273 Charlotte NC 28289-0273 |
| Practice Telephone | 8286327076 |
| Practice Fax Number | 8286327028 |
| Mailing Telephone | 8286327076 |
| Mailing Fax Number | 8286327028 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2011-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2008-00736 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | OS9863 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS OF NC | 1501F | 01 |
| NC | 5910493 | 05 |
| Street Address |
50 MACEDONIA CHURCH ROAD |
| City | TAYLORSVILLE |
| State | NC |
| Zip Code | 28681-8414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| 1831651918 | Rebecca Ann Soltysiak | Speech-Language Pathologist | 581 Hwy 16 South, Taylorsville, NC 28681 | 2019-04-05 |
| 1356790745 | Carolina Dental Care Centere | Dentist | 556 Nc-16, Taylorsville, NC 28681 | 2016-06-07 |
| 1952738999 | Changing Lives Now LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3598 North Carolina 90, Taylorsville, NC 28681 | 2013-10-05 |
| 1952642472 | Counseling and Support Associates, PC | Community/Behavioral Health | 121 E. Main Ave., Taylorsville, NC 28681 | 2013-03-07 |
| 1649550237 | Matthew Tyler Holland | Chiropractor | 92 Main Ave Drive, Taylorsville, NC 28681 | 2011-08-26 |
| 1811147358 | Sachi J Jhaveri-mehta | Psychologist | 630 Old Landfill Road, Taylorsville, NC 28681 | 2008-09-21 |
| 1033324421 | Jack T. Brinkley, D.m.d., P.a. | Dentist | 163 Main Avenue Drive, Taylorsville, NC 28681 | 2007-05-11 |
| 1649303579 | Comserv, Inc. | Intermediate Care Facility, Mentally Retarded | 4165 Nc Highway 127, Taylorsville, NC 28681 | 2007-03-13 |
| 1144381765 | Diane Gaines | Counselor | 397 3rd Avenue Sw, Taylorsville, NC 28681 | 2006-12-13 |
| Find all providers in zip 28681 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851821003 | Moriah Armstrong Specht | Family Medicine | 174 Bolick Ln Ste 202, Taylorsville, NC 28681-4362 | 2017-06-19 |
| 1982069027 | Accuheal Wound Care | Family Medicine | 4159 S 2700 W, Taylorsville, UT 84129-5211 | 2015-12-16 |
| 1093039521 | Chad Alan Spain | Family Medicine | 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 | 2010-03-26 |
| 1013153311 | Seraphine Med Taylorsville, LLC | Family Medicine | 6126 South Redwood Road, Taylorsville, UT 84123 | 2008-12-17 |
| 1558458885 | John R. Harper | Family Medicine | 105 Eaton Street, Taylorsville, MS 39168 | 2006-10-06 |
| 1104910322 | Hattiesburg Clinic Pa | Family Medicine | 300 Pine St, Taylorsville, MS 39168-5432 | 2006-10-03 |
| 1578582342 | Steven Merrill | Family Medicine | 393 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2006-07-19 |
| 1568493104 | Jill Marie Devries | Family Medicine | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2006-07-05 |
| 1043261357 | Catawba Valley Medical Group | Family Medicine | 50 Macedonia Church Rd, Taylorsville, NC 28681-8414 | 2006-05-12 |
| 1578524237 | Thomas Cecil Crain | Family Medicine | 83 W Main St, Taylorsville, KY 40071-8616 | 2006-03-31 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 28681 |
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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.