BABATUNDE A OLUMIDE (NPI# 1689771875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689771875 |
| Entity Type | Individual |
| Full Name | BABATUNDE A OLUMIDE |
| Credential | MD |
| Practice Address |
711 Veterans Memorial Pkwy Ste 300 Saint Charles MO 63303-2106 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
| Practice Telephone | 6366692350 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
10027 | ND | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 2018002213 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 13561 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 3rd Ave Sw, Rugby, ND 583681645 | 7017765235 | 7017765297 |
| Street Address |
711 VETERANS MEMORIAL PKWY STE 300 |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63303-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013981109 | Steven B Livingstone | Family Medicine | 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303-2106 | 2006-02-15 |
| 1598238925 | Megan Williams | Nurse Practitioner | 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303-2106 | 2019-01-08 |
| 1619484268 | Kathleen Anne Wohldmann | Nurse Practitioner | 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303 | 2018-01-04 |
| 1851738769 | Haseena Mazhar Ali | Internal Medicine | 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303-2106 | 2013-05-31 |
| 1821433855 | Nileena Leny Philip | Internal Medicine | 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303-2106 | 2013-05-03 |
| 1629384136 | Yousaf Jalil | Internal Medicine | 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303-2106 | 2010-08-20 |
| 1295921302 | Sarah E Sbarra | Nurse Practitioner | 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303-2106 | 2007-09-21 |
| 1417918202 | Martin J Walsh | Family Medicine | 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303-2106 | 2006-03-31 |
| 1851352637 | Richard S Murray | Family Medicine | 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303-2106 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
| 1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
| Find all providers in zip 63303 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477926624 | Michaele Mary Penkoske | Internal Medicine | 24 Lake Forest Dr, Saint Charles, MO 63301-4524 | 2015-11-10 |
| 1194958587 | Young Sun Kim | Internal Medicine | 37w755 Il Route 38, Suite A, Saint Charles, IL 60175-7507 | 2009-09-01 |
| 1134356017 | Tarig Abdelhameed Sayed Omer | Internal Medicine | 50 Scenic Cove Ln, Saint Charles, MO 63303-6595 | 2009-06-17 |
| 1265597819 | Raul Enad Md LLC | Internal Medicine | 533 Jefferson St, Saint Charles, MO 63301-2702 | 2006-12-26 |
| 1831280783 | Healthguard Medical Network Sc | Internal Medicine | 40w222 La Fox Road, Suite K, Saint Charles, IL 60175-7625 | 2006-09-27 |
| 1528078276 | Gene Roxas | Internal Medicine | 533 Jefferson St., Saint Charles, MO 63301-2702 | 2006-08-08 |
| 1366408486 | Edith A. Levine | Internal Medicine | 7 Jason Ct, Saint Charles, MO 63304-1233 | 2006-04-26 |
| 1609841303 | Tejaswini R. Nayak | Internal Medicine | 1820 Zumbehl Rd, Suite 120-a, Saint Charles, MO 63303-2761 | 2006-02-17 |
| 1265893432 | St. Charles Family Clinic Pllc | Internal Medicine | 611 W Belle Ave, Saint Charles, MI 48655-1611 | 2016-03-15 |
| 1750769311 | Terra Deneb Schaetzel Thorndike | Internal Medicine | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2015-05-14 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63303 |
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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.