DR. BOLANLE SOGADE M.D. LLC (NPI# 1689857542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689857542 |
| Entity Type | Organization |
| Organization Name | DR. BOLANLE SOGADE M.D. LLC |
| Practice Address |
639 Hemlock St Suite 101 Macon GA 31201-6886 |
| Practice Telephone | 4787453014 |
| Practice Fax Number | 4787459887 |
| Mailing Telephone | 4787453014 |
| Mailing Fax Number | 4787459887 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |
| Authorized Official Name | MRS. ALISA MARTIN (BILLING CORDINATOR) |
| Authorized Official Telephone | 4787453014 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
047875 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | WELLCARE | 322090 | 01 |
| Street Address |
639 HEMLOCK ST SUITE 101 |
| City | MACON |
| State | GA |
| Zip Code | 31201-6886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902980527 | Joseph W Poku | Internal Medicine | 639 Hemlock St, Suite 100, Macon, GA 31201-6886 | 2006-10-24 |
| 1942705512 | Chidinma Eke Ogoh | Nurse Practitioner | 639 Hemlock St, Macon, GA 31201-6886 | 2018-03-27 |
| 1922515352 | Schane Maxis | Nurse Practitioner | 639 Hemlock St, Macon, GA 31201-6886 | 2018-01-08 |
| 1275085904 | Jacey Marie Coffey | Nurse Practitioner | 639 Hemlock St, Suite 100, Macon, GA 31201-6886 | 2016-10-28 |
| 1881069805 | Roberta Brett | Nurse Practitioner | 639 Hemlock St, Suite 100, Macon, GA 31201-6886 | 2015-12-02 |
| 1407114739 | Bola Sogade, Md, LLC | Physician Assistant | 639 Hemlock St, Macon, GA 31201-6886 | 2012-04-24 |
| 1891086542 | Raimot A Olanrewaju | Obstetrics & Gynecology | 639 Hemlock St, Macon, GA 31201-6886 | 2011-04-28 |
| 1528393253 | Amanda Kelley Smith | Nurse Practitioner | 639 Hemlock St, Suite 200, Macon, GA 31201-6886 | 2009-10-14 |
| 1477717015 | Kathleen Stephens Frazier | Nurse Practitioner | 639 Hemlock St, Suite 100, Macon, GA 31201-6886 | 2008-07-14 |
| 1992889505 | Felix O Sogade | Internal Medicine | 639 Hemlock St, Suite 100, Macon, GA 31201-6886 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952406761 | Obgyn Specialists | Obstetrics & Gynecology | 380 Hospital Dr, Suite 100, Macon, GA 31217-8001 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757907 | Atlanta Midtown Gynecology 2 LLC | Obstetrics & Gynecology | 842 N Highland Ave Ne Ste 250, Atlanta, GA 30306-4514 | 2018-07-19 |
| 1922481522 | Anna Carter | Obstetrics & Gynecology | 1700 Tree Ln Ste 290, Snellville, GA 30078-6748 | 2015-07-01 |
| 1164832101 | Desiree Ogbedei Ashong Simon | Obstetrics & Gynecology | 1300 Upper Hembree Rd Ste D, Roswell, GA 30076-0927 | 2014-04-29 |
| 1427303411 | Cynthia C Mercer Md PC | Obstetrics & Gynecology | 77 Weaver Rd Ste A, Blairsville, GA 30512-3136 | 2012-07-17 |
| 1972892388 | John Yongseung Lee | Obstetrics & Gynecology | 1325 Satellite Blvd Nw Bldg 700, Suwanee, GA 30024-4651 | 2011-04-06 |
| 1427235597 | Khadeja Haye | Obstetrics & Gynecology | 69 Jesse Hill Jr Dr, Atlanta, GA 30303 | 2008-01-30 |
| 1215111992 | Milledgeville Family Practice Center P.C. | Obstetrics & Gynecology | 540 W Thomas St Ste B, Milledgeville, GA 31061-2745 | 2007-12-18 |
| 1992984686 | Michael E Lynch Sr Md PC | Obstetrics & Gynecology | 230 W College St Ste A, Griffin, GA 30224-4249 | 2007-10-30 |
| 1770644650 | Robert H Weinfeld | Obstetrics & Gynecology | Dwight D. Eisenhower Army Medical Center, Bldg 300 Hospital Way, Ft. Gordon, GA 30905 | 2006-12-13 |
| 1073698197 | James D Woods | Obstetrics & Gynecology | 401 S Madison St, Albany, GA 31701-3111 | 2006-10-26 |
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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.