OLUWATUMININU M ODUNTAN (NPI# 1992310981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992310981 |
| Entity Type | Individual |
| Full Name | OLUWATUMININU M ODUNTAN |
| Other Name | TUMI ODUNTAN |
| Credential | AA |
| Practice Address |
1500 Citywest Blvd Ste 300 Houston TX 77042-2549 |
| Mailing Address |
Po Box 840853 Dallas TX 75284-0853 |
| Practice Telephone | 9722331999 |
| Mailing Telephone | 9727155000 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 32697779 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 CITYWEST BLVD STE 300 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77042-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465763 | Brannon Frank | Anesthesiology | 1500 Citywest Blvd Ste 300, Houston, TX 77042 | 2005-05-23 |
| 1659985919 | Adam Conlon | Student in an Organized Health Care Education/Training Program | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-09-03 |
| 1477164358 | Jonathan Bryan Lindstrom | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-08-13 |
| 1740891043 | Ronda Janelle Lightfoot | Student in an Organized Health Care Education/Training Program | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-08-11 |
| 1083223721 | Rumana Hossain Seth | Registered Nurse | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-07-29 |
| 1033737614 | Ammar Qadir Ismail | Student in an Organized Health Care Education/Training Program | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-07-09 |
| 1619594884 | Adriana Corinne Montoya | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-07-02 |
| 1003432162 | Rushi Dilip Brahmbhatt | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-06-24 |
| 1659996932 | Emmanuel Timilehin Okeremgbo | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-06-11 |
| 1144842097 | Luis Serpa | Registered Nurse | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942823208 | Carlton Petties II | Registered Nurse | 2424 Willcrest Drive, 110, Houston, TX 77042 | 2020-05-21 |
| 1922566645 | Crystal Ann White | Registered Nurse | 2424 Wildcrest Suite 110, Houston, TX 77042 | 2019-03-12 |
| 1558825158 | Egheosemene Ebadan | Registered Nurse | 2424 Wilcrest Drive, Suite 110, Houston, TX 77042 | 2019-01-28 |
| 1225510670 | Adiba Maureen Agbu | Registered Nurse | 2424 Wilcrest Drive 110, Houston, TX 77042 | 2018-09-02 |
| 1023590460 | Ashlyn Nicole Parks | Licensed Vocational Nurse | 110, 2424 Wilcrest Dr, Houston, TX 77042 | 2018-09-01 |
| 1497250757 | Westchase Emergency Center, LLC | Emergency Medicine | 11103 Westheimer Rd, Houston, TX 77042 | 2018-03-28 |
| 1194225011 | Delores Sublett | Registered Nurse | 9797 Meadowglen 1013, Houston, TX 77042 | 2018-02-16 |
| 1073012068 | Brandon C. Cervantes | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd. Ste. 300, Houston, TX 77042 | 2018-02-06 |
| 1851805782 | Ideal Dental of Westchase Pllc | Dentist | 2550 Citywest Blvd, Suite 300, Houston, TX 77042 | 2017-11-30 |
| 1851814131 | Elizabeth Kaluanya | Nurse Practitioner | 9850 Meadowglen Ln Apt 142, Houston, TX 77042 | 2017-07-19 |
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| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336647874 | Charlie Phung | Anesthesiologist Assistant | 6431 Fannin St Ste 5020, Houston, TX 77030-1501 | 2018-01-30 |
| 1548620594 | Danielle Michelle Brooks | Anesthesiologist Assistant | 12418 Dawn Terrace, Houston, TX 77048 | 2016-03-03 |
| 1982070074 | Thomas Kennelly | Anesthesiologist Assistant | 6720 Bertner Ave # 226, Houston, TX 77030-2604 | 2015-08-12 |
| 1740616564 | Quincy You | Anesthesiologist Assistant | 714 Fm 1960 Rd W, Suite 206, Houston, TX 77090-3405 | 2013-09-25 |
| 1881944957 | Benjamin Malonzo | Anesthesiologist Assistant | 714 Fm 1960 West, Suite 206, Houston, TX 77090-3408 | 2012-09-14 |
| 1982877601 | Salihu A Yarima | Anesthesiologist Assistant | 6431 Fannin St Ste 5.020, Houston, TX 77030-1501 | 2008-04-03 |
| 1750995254 | Texpath LLC | Anesthesiologist Assistant | 7102 W Sam Houston Pkwy N Ste 225, Houston, TX 77040-3165 | 2020-09-02 |
| 1396368825 | Samantha Alper | Anesthesiologist Assistant | 18300 Houston Methodist Dr, Houston, TX 77058-6302 | 2020-05-19 |
| 1154943827 | Tedra Hall | Anesthesiologist Assistant | 1 Baylor Plz, Houston, TX 77030-3498 | 2020-05-15 |
| 1285263434 | Emil Maria Simon | Anesthesiologist Assistant | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-04-08 |
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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.