IBIMINA DAGOGO-JACK (NPI# 1639799752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639799752 |
| Entity Type | Individual |
| Full Name | IBIMINA DAGOGO-JACK |
| Practice Address |
1701 Veterans Dr Florence AL 35630-4928 |
| Mailing Address |
811 Chestnut Pl Milton GA 30004-4467 |
| Practice Telephone | 2566291950 |
| Mailing Telephone | 7135699094 |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2020-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1701 VETERANS DR |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558337212 | Florence Pathology Services LLC | Clinical Medical Laboratory | 1701 Veterans Dr, Florence, AL 35630-4928 | 2006-02-23 |
| 1902413982 | Justin Kyle Barber | Nurse Anesthetist, Certified Registered | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-09-24 |
| 1114530821 | Sangeetha Poongunam Isaac | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-24 |
| 1245843960 | Mohammed Afraz Pasha | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-24 |
| 1255944914 | Sucheta Kundu | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-24 |
| 1063023679 | Demilade Adeayo Soji-ayoade | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-17 |
| 1710597380 | Sumit Goyat | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-07 |
| 1194335349 | Manjyot Bajwa | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-08-03 |
| 1134737729 | Allison Rogers | Nurse Practitioner | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-07-20 |
| 1437775400 | Eileen Ibeth Montalvan Fernandez | Student in an Organized Health Care Education/Training Program | 1701 Veterans Dr, Florence, AL 35630-4928 | 2020-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257772 | Ryan James Turley | Student in an Organized Health Care Education/Training Program | 5946 E Baja Ave, Florence, AZ 85132-6503 | 2020-08-26 |
| 1699392142 | Melon Nega | Student in an Organized Health Care Education/Training Program | 8076 Us 42, Florence, KY 41042-1474 | 2020-07-01 |
| 1558984203 | Sherica Lynn Warfield | Student in an Organized Health Care Education/Training Program | 412 Saurus Ct, Florence, SC 29505-5132 | 2020-05-28 |
| 1548899925 | Lindsey Marie Dunwoody | Student in an Organized Health Care Education/Training Program | 9120 Evergreen Dr, Florence, KY 41042-9611 | 2020-04-07 |
| 1649806506 | Sarah Browning Taylor | Student in an Organized Health Care Education/Training Program | 1025 W Roseneath Rd, Florence, SC 29501-5745 | 2020-03-22 |
| 1053946798 | Sarah Mae Lammert | Student in an Organized Health Care Education/Training Program | 415 Park Ave # A, Florence, SC 29501-4740 | 2020-03-03 |
| 1386284909 | Cress Schammel Jacobs | Student in an Organized Health Care Education/Training Program | 6119 County Road 200, Florence, AL 35633-4201 | 2020-01-11 |
| 1154875722 | April Dawn Parker | Student in an Organized Health Care Education/Training Program | 14351 County Road 47, Florence, AL 35634-4312 | 2016-08-11 |
| 1831583525 | Brooke Ford | Student in an Organized Health Care Education/Training Program | 785 County Road 277, Florence, AL 35633-4135 | 2015-03-20 |
| 1043655848 | Zackary Heath Mcmullan | Student in an Organized Health Care Education/Training Program | 204 Magan Dr, Florence, AL 35633-4975 | 2013-05-07 |
| Find all providers in FLORENCE | ||||
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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.