KIKELOMO OMOTOSO (NPI# 1700247418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700247418 |
| Entity Type | Individual |
| Full Name | KIKELOMO OMOTOSO |
| Practice Address |
2500 Canyon Rd Ste A1 Bullhead City AZ 86442 |
| Practice Telephone | 9287044499 |
| Practice Fax Number | 9287044949 |
| Mailing Telephone | 9287044499 |
| Mailing Fax Number | 9287044949 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
8360 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2500 CANYON RD STE A1 |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932291168 | Harut Panossian | Internal Medicine | 2500 Canyon Rd, Bldg B, Bullhead City, AZ 86442 | 2006-09-28 |
| 1316568488 | Kathleen Anne Mlekush | Radiologic Technologist | 2500 Canyon Rd, Bullhead City, AZ 86442-8624 | 2020-04-30 |
| 1164881405 | All Women's Regional Medical Center, PC | Clinic/Center | 2500 Canyon Rd, Ste A1, Bullhead City, AZ 86442-8624 | 2016-02-15 |
| 1780996223 | Bullhead City Hospital Corporation | Clinic/Center | 2500 Canyon Rd, Bldg B, Unit 2, Bullhead City, AZ 86442-8689 | 2010-07-13 |
| 1417164088 | All Womens Regional Medical Center, P.C. | Obstetrics & Gynecology | 2500 Canyon Rd, Bullhead City, AZ 86442-8689 | 2007-05-16 |
| 1396888665 | Teresa Borchers | Obstetrics & Gynecology | 2500 Canyon Rd, Bullhead City, AZ 86442-8689 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740544741 | Marian Bautista Cid | Nurse Practitioner | 3003 Highway 95, Suite 39, Bullhead City, AZ 86429 | 2012-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417860 | Health and Healing Clinic | Nurse Practitioner | 2044 Red Rock Loop Rd, Sedona, AZ 86336-9120 | 2020-04-30 |
| 1689234833 | Bethany Ann King | Nurse Practitioner | 10617 N Hayden Rd Ste 102, Scottsdale, AZ 85260-8200 | 2019-06-19 |
| 1881251437 | Amy Jean Snell | Nurse Practitioner | 501 N. Navajo Dr., Page, AZ 86040 | 2019-05-20 |
| 1639652654 | Janine Marie Hammond | Nurse Practitioner | 36375 N Gantzel Rd Ste 103, San Tan Valley, AZ 85140-7334 | 2018-09-14 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1770919391 | Shannon Sherman | Nurse Practitioner | 2545 W Frye Rd Ste 5, Chandler, AZ 85224-6273 | 2013-09-16 |
| 1689926800 | Ashley Renee Torrey Fisher | Nurse Practitioner | 10240 West Indian School Road, 140, Phoenix, AZ 85037-5904 | 2012-10-11 |
| 1275889412 | Bella Vita Healthcare | Nurse Practitioner | 294 W State Route 89a Ste 209, Cottonwood, AZ 86326-3765 | 2012-07-25 |
| 1225395726 | Evelyn R Lopez | Nurse Practitioner | 9520 W Palm Ln Ste 200, Phoenix, AZ 85037-4403 | 2012-04-20 |
| Find all providers with the same taxonomy | ||||
| City | BULLHEAD CITY |
| Zip Code | 86442 |
Please comment or provide details below to improve the information on KIKELOMO OMOTOSO.
| 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.