OLAJUMOKE BEULAH ADIGUN


Address: 1820 W Gulfport St, Broken Arrow, OK 74011-4238
Phone: 9188138978

OLAJUMOKE BEULAH ADIGUN (NPI# 1841629797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841629797
Entity Type Individual
Full Name OLAJUMOKE BEULAH ADIGUN
Practice Address 1820 W Gulfport St
Broken Arrow
OK 74011-4238
Practice Telephone 9188138978
Mailing Telephone 9188138978
Enumeration Date 2013-11-01
Last Update Date 2013-11-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1820 W GULFPORT ST
City BROKEN ARROW
State OK
Zip Code 74011-4238

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336663699 Cpii, LLC Pharmacy 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 2017-07-28
1053833608 Cpii, LLC Pharmacy 811 W. New Orleans, Suite 101, Broken Arrow, OK 74011 2017-07-14
1184079709 Melissa David Lactation Consultant, Non-RN 417 West San Diego St., Broken Arrow, OK 74011 2016-05-02
1154789576 Rebecca Young Registered Nurse 7801 S Oak Pl, Broken Arrow, OK 74011 2016-01-29
1942524061 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 751 W Tuscan St, 121st, Broken Arrow, OK 74011 2010-03-18
1174764336 Linda J. Russell Counselor 2446 W New Orleans St, Broken Arrow, OK 74011 2009-03-18
1851409080 Kim Lee Mcneal Dentist 3764 South Elm Place, Broken Arrow, OK 74011 2006-08-28
1669433249 Matthew E Ozment Optometrist 2500 West New Orleans, Broken Arrow, OK 74011 2006-03-31
1912275140 Courtney Brooke Willcoxon Pharmacist 4704 S Elm Pl, Broken Arrow, OK 74011 2011-12-02
1558322883 Gerald Seefeldt Family Medicine 66 Cedar Ridge Rd, Broken Arrow, OK 74011-1101 2006-03-28
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376159731 Omar Fakhr Student in an Organized Health Care Education/Training Program 4213 W Greeley St, Broken Arrow, OK 74012-0612 2020-09-21
1932720737 Brent Hickman Student in an Organized Health Care Education/Training Program 30242 E 69th Pl S, Broken Arrow, OK 74014-5481 2020-05-03
1588285969 Kelson Shaun Goins Student in an Organized Health Care Education/Training Program 3000 S Nyssa Ave, Broken Arrow, OK 74012-7678 2020-04-27
1013536325 Stephen C Klaassen Student in an Organized Health Care Education/Training Program 913 S Umbrella Cir, Broken Arrow, OK 74012-4555 2020-04-16
1750926960 Kaitlyn Edmondson Student in an Organized Health Care Education/Training Program 4109 S Redwood Ave, Broken Arrow, OK 74011-1475 2019-11-12
1750841029 Jacob Austin Ruzicka Student in an Organized Health Care Education/Training Program 7 River Ridge Rd, Broken Arrow, OK 74014-4502 2019-03-22
1184165557 Andrea Kinkeade Student in an Organized Health Care Education/Training Program 521 E Fort Worth Dr, Broken Arrow, OK 74012-4314 2017-03-17
1124479324 Amanda Nicole Knittel Student in an Organized Health Care Education/Training Program 1105 N 31st St, Broken Arrow, OK 74014-1886 2016-06-29
1487944104 Lauren Kimberly Conway Student in an Organized Health Care Education/Training Program 2021 E Concord St, Broken Arrow, OK 74012-9637 2011-04-14
1639665482 Carrol Smith Student in an Organized Health Care Education/Training Program 8937 S Garnett Rd, Broken Arrow, OK 74012-6018 2018-07-05
Find all providers in BROKEN ARROW

Competitor

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City BROKEN ARROW
Zip Code 74011

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Dataset Information

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.

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