ABIMBOLA A ODUKOYA (NPI# 1770683732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770683732 |
| Entity Type | Individual |
| Full Name | ABIMBOLA A ODUKOYA |
| Credential | M.D. |
| Practice Address |
3741 Rome Dr Suite B Lafayette IN 47905-4490 |
| Practice Telephone | 7656076160 |
| Practice Fax Number | 7656076161 |
| Mailing Telephone | 7656076160 |
| Mailing Fax Number | 7656076161 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01062400A | IN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 61002723 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | IN STATE LICENSE | 01062400A | 01 |
| IN | 200908770 | 05 | |
| NY | LICENSE | 61002723 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619224573 | Abimbola Odukoya | Psychiatry & Neurology | 5680 King Centre Dr # 646, Alexandria, VA 22315-5757 | 2012-08-10 |
| Street Address |
3741 ROME DR SUITE B |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417995242 | Elizabeth A Jones | Nurse Practitioner | 3741 Rome Dr, Ste. B, Lafayette, IN 47905-4490 | 2006-06-03 |
| 1275075731 | Melanie Copeland | Speech-Language Pathologist | 3741 Rome Dr, Suite A, Lafayette, IN 47905-4490 | 2016-11-14 |
| 1801050703 | Ritesh Nirwal | Physical Therapist | 3741 Rome Dr, Suite A, Lafayette, IN 47905-4490 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093170433 | Southcare Medical LLC | Pediatrics | 110 Curran Ln, Lafayette, LA 70506 | 2015-12-30 |
| 1639425523 | Deepa Vasireddy | Pediatrics | 7053 Johnston St, Lafayette, LA 70503-6305 | 2012-07-27 |
| 1215293147 | Mark Leclerc | Pediatrics | 3 Rimrock Rd, Lafayette, CA 94549-4924 | 2012-04-04 |
| 1578854196 | Geneva Marie Guidry Lejeune | Pediatrics | 200 Beaullieu Dr Ste 7, Lafayette, LA 70508-7230 | 2011-04-30 |
| 1174835631 | Durga P Naidu | Pediatrics | 4630 Ambassador Caffery Pkwy Ste 404, Lafayette, LA 70508-6951 | 2010-07-12 |
| 1427236108 | Children's Multi-specialty Group LLC | Pediatrics | 4704 Ambassador Caffery Parkway, Lafayette, LA 70508 | 2008-02-05 |
| 1841477726 | Diane Kramer Gordon | Pediatrics | 500 Patterson St, Lafayette, LA 70501-1849 | 2008-01-23 |
| 1477748861 | Lafayette Childrens Clinic LLC | Pediatrics | 5000 Ambassador Caffery Pkwy., # 12, Lafayette, LA 70508 | 2007-09-10 |
| 1639362650 | Kristine Falcon Chimento | Pediatrics | 107 Montrose Ave Ste D, Lafayette, LA 70503-3852 | 2007-08-22 |
| 1659577302 | Katherine Alexis Lindle | Pediatrics | 1460 S College Rd, Lafayette, LA 70503 | 2007-06-21 |
| Find all providers in LAFAYETTE | ||||
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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.