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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1820 W GULFPORT ST |
City | BROKEN ARROW |
State | OK |
Zip Code | 74011-4238 |
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 |
Find all providers in zip 74011 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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] |
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 |
City | BROKEN ARROW |
Zip Code | 74011 |
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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.