OLUWOLE POPOOLA (NPI# 1962819326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962819326 |
| Entity Type | Individual |
| Full Name | OLUWOLE POPOOLA |
| Credential | MD, MPH |
| Practice Address |
One Hospital Dr Columbia MO 65212 |
| Mailing Address |
Po Box 843966 Kansas City MO 64184-3966 |
| Practice Telephone | 5738828006 |
| Practice Fax Number | 5738841070 |
| Mailing Telephone | 5738843300 |
| Mailing Fax Number | 5738840943 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
2017024859 | MO | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2017024859 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 307 N Main St, Windsor, MO 65360 | 8884031071 | |
| 3501 Berrywood Dr, Columbia, MO 652016584 | 8884031071 | 5734492583 |
| Street Address |
ONE HOSPITAL DR |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932190980 | John Gregory Markley | Surgery | One Hospital Dr, Columbia, MO 65212-0001 | 2005-10-31 |
| 1710500434 | Lyndsay Marie Bergus | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-05-28 |
| 1356962039 | Emily Schroeder Smith | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-05-04 |
| 1881220275 | Krista A Desimoni | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-03-17 |
| 1629603204 | Naziha Taher Elhassan | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-03-04 |
| 1124652375 | Ariana Joy Cooper | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-02-26 |
| 1922631001 | Alex Kimberly Armstrong | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-02-18 |
| 1447882584 | Anna Marie Stahlschmidt | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-02-06 |
| 1235779216 | Rachel Elizabeth Vogel | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-01-08 |
| 1205475548 | Adelaide Elizabeth Naumann | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
| 1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| 1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| Find all providers in zip 65212 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760559181 | Thomas James Breidenstein | Psychiatry & Neurology | 108 E Green Meadows Rd, Suite 8, Columbia, MO 65203-3633 | 2006-11-29 |
| 1922203223 | Joseph David Markowitz | Psychiatry & Neurology | 3555 Harden Street Ext Ste 141, Columbia, SC 29203 | 2007-06-18 |
| 1275643538 | Diana L. Thorne | Psychiatry & Neurology | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235203308 | David Edward Sternberg | Psychiatry & Neurology | 527 Sw Market St, Lees Summit, MO 64063-3918 | 2006-11-20 |
| 1689661829 | Subbu Joseph Sarma | Psychiatry & Neurology | 4025 Ne Lakewood Way Ste 210, Lees Summit, MO 64064-2059 | 2005-10-03 |
| 1982928065 | Jack L. Croughan Inc | Psychiatry & Neurology | 1034 S Brentwood Blvd, Suite 970, Saint Louis, MO 63117-1223 | 2010-03-18 |
| 1104873116 | Ashok R Mallya | Psychiatry & Neurology | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2006-05-27 |
| 1588659288 | David Lee Ohlms | Psychiatry & Neurology | 12166 Old Big Bend Rd, Suite 100, Kirkwood, MO 63122-6844 | 2005-09-19 |
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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.