BABATUNDE ADEBOLA OTINWA (NPI# 1679744676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679744676 |
| Entity Type | Individual |
| Full Name | BABATUNDE ADEBOLA OTINWA |
| Credential | D.O. |
| Practice Address |
6306 Fairbanks N Houston Rd Ste 500 Houston TX 77040-5193 |
| Mailing Address |
6302 Fairbanks N Houston Rd Suite 500 Houston TX 77040 |
| Practice Telephone | 8328319094 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2020-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | N5306 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | N5306 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 284813708 | 05 | |
| TX | BCBS | 8DL678 | 01 |
| TX | BCBS | 8DH241 | 01 |
| TX | 284813707 | 05 | |
| TX | 303109801 | 05 | |
| TX | TRICARE SOUTH | 1679744676 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6302 Fairbanks N Houston Rd, Suite 500, Houston, TX 77040 | 8318329094 |
| Street Address |
6306 FAIRBANKS N HOUSTON RD STE 500 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77040-5193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796020 | Andrea Uzcategui | Registered Nurse | 6306 Fairbanks N Houston Rd Ste 500, Houston, TX 77040-5193 | 2020-09-30 |
| 1679135792 | Amanda Ann Sanger | Nurse Practitioner | 6306 Fairbanks N Houston Rd Ste 500, Houston, TX 77040 | 2019-06-29 |
| 1811453293 | Brazos Medical Center | Family Medicine | 6306 Fairbanks N Houston Rd Ste 500, Houston, TX 77040-5193 | 2019-02-11 |
| 1760919880 | Providence Physician Associates | Clinic/Center | 6306 Fairbanks N Houston Rd Ste 500, Houston, TX 77040-5193 | 2017-05-19 |
| 1700230240 | Mallory Gurecki | Nurse Practitioner | 6306 Fairbanks N Houston Rd Ste 500, Houston, TX 77040-5193 | 2016-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998595 | Stephanie Lynn Villarreal | Nurse Practitioner | 17347 Village Green Drive, Houston, TX 77040 | 2019-02-12 |
| 1285116855 | Darlene Lestrick | Non-emergency Medical Transport (VAN) | 6518 Hampden Point Ct, Houston, TX 77040 | 2018-08-30 |
| 1659859916 | Jill Nicole Hurst | Dietitian, Registered | 6969 Hollister St., Apt 909, Houston, TX 77040 | 2018-07-30 |
| 1871083444 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 17410 N.w. Freeway, Houston, TX 77040 | 2018-05-18 |
| 1538656111 | First Step To Recovery LLC | Substance Abuse Rehabilitation Facility | 7676 Hilmont, Suite 201, Houston, TX 77040 | 2018-04-18 |
| 1003311945 | Upthrust LLC | Non-emergency Medical Transport (VAN) | 7676 Hillmont St Ste 240e, Houston, TX 77040 | 2018-03-23 |
| 1952831737 | Allegra R Chopin | Technician | 7740 W Little York Rd, 2632, Houston, TX 77040 | 2017-06-14 |
| 1427509066 | Gary Chacon | Specialist/Technologist, Other | 9777 West Gulf Bank Rd, Suite 5, Houston, TX 77040 | 2016-10-19 |
| 1992253744 | Felicia Johnston | Counselor | 7787 Pinemont Dr. Suite B, Houston, TX 77040 | 2016-09-21 |
| 1285011841 | Michelle Callier | Occupational Therapist | 4423 Shadowdale, Houston, TX 77040 | 2015-05-04 |
| Find all providers in zip 77040 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871129247 | Texmed Corp | Emergency Medicine | 14770 Memorial Drive Suite 100, Houston, TX 77079-5252 | 2020-03-18 |
| 1548894751 | Emergency Medicine Physician of Houston | Emergency Medicine | 4000 Washington Ave Ste 100, Houston, TX 77007-5676 | 2020-02-26 |
| 1912472929 | Bellaire Emergency Center, LLC | Emergency Medicine | 5413 S Rice Ave, Houston, TX 77081-2113 | 2018-10-05 |
| 1295200202 | Copperfield Emergency Center, LLC | Emergency Medicine | 5835 Highway 6 N, Houston, TX 77084-1833 | 2018-10-05 |
| 1285109298 | 1960 Emergency Center, LLC | Emergency Medicine | 5003 Cypress Creek Pkwy, Houston, TX 77069-4502 | 2018-10-05 |
| 1992294748 | Khalid Mohammed S Alhamdan | Emergency Medicine | 1504 Taub Loop # I, Houston, TX 77030-1608 | 2018-05-08 |
| 1861981920 | Chloe Woodington | Emergency Medicine | 1504 Taub Loop Emergency Center, Houston, TX 77030 | 2018-05-04 |
| 1497250757 | Westchase Emergency Center, LLC | Emergency Medicine | 11103 Westheimer Rd, Houston, TX 77042 | 2018-03-28 |
| 1932617768 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 13550 East Fwy, Houston, TX 77015-5926 | 2018-01-15 |
| 1396251781 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 16307 Fm 529 Road, Houston, TX 77095-1417 | 2017-12-20 |
| Find all providers in HOUSTON | ||||
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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.