Bolanle O Gbadebo (NPI# 1245320480, PAC ID# 0749242071) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245320480 |
| PAC ID by PECOS | 0749242071 |
| Professional Enrollment ID | I20041029000431 |
| Full Name | Bolanle O Gbadebo |
| Organization Legal Name | ASCENSION ST MICHAEL'S HOSPITAL INC |
| Address |
2401 Plover Rd Plover WI 54467-3916 |
| Phone Number | 7152953800 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1850358938 |
| Number of Group Practice Members | 156 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520002 | ST MICHAEL'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2401 Plover Rd, Plover, WI 54467-3916 | 7152953800 | ASCENSION ST MICHAEL'S HOSPITAL INC |
| Organization Legal Name | ASCENSION ST MICHAEL'S HOSPITAL INC |
| Physicians | 139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erik W. Gunderson | Obstetrics/gynecology | Ascension St Michael's Hospital Inc | 824 Illinois Ave, Stevens Point, WI 54481-3112 |
| Zoua Lor Yang | Nurse Practitioner | Ascension St Michael's Hospital Inc | 3500 Hoover Rd, Stevens Point, WI 54481-5600 |
| Promila K Timothy | Family Medicine | Ascension St Michael's Hospital Inc | 3301 Stanley St, Stevens Point, WI 54481-1323 |
| Kristina L Wattier | Psychiatry | Ascension St Michael's Hospital Inc | 122 Wilshire Blvd N, Stevens Point, WI 54481-1360 |
| Jeffrey L Willems | Psychologist, Clinical | Ascension St Michael's Hospital Inc | 3398 E Maria Dr, Stevens Point, WI 54481-1362 |
| Elise R Gorski | Physician Assistant | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Frederick A Abrokwah | Hospitalist | Ascension St Michael's Hospital Inc | 900 Illinois Ave, Stevens Point, WI 54481-3114 |
| Xa X Xiong | Family Medicine | Ascension St Michael's Hospital Inc | 272 Christy St, Amherst, WI 54406-9390 |
| Orlando M Francisco | Family Medicine | Ascension St Michael's Hospital Inc | 190 Grand Seasons Dr, Waupaca, WI 54981-8219 |
| Julie R Hintzman | Clinical Social Worker | Ascension St Michael's Hospital Inc | 209 Prentice St N, Stevens Point, WI 54481-1162 |
| Street Address |
2401 PLOVER RD |
| City | PLOVER |
| State | WI |
| Zip | 54467-3916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elise R Gorski | Physician Assistant | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Jennifer M Schoepke | Nurse Practitioner | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Timothy J Wirtz | Family Medicine | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Maria N Mercado | Nurse Practitioner | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Chad E Gregory | Physician Assistant | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Kaila D Meyer | Physician Assistant | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Kristine M Metz | Nurse Practitioner | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Akram Bembenek | Physician Assistant | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Leah M Krueger | Family Medicine | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Michelle C Jockin | Physician Assistant | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher T Deroche | Podiatry | 2020 County Rd Hh, Plover, WI 54467-2653 | |
| Eric James Liazuk | Chiropractic | 1840 Post Rd, Suite 6, Plover, WI 54467-2832 | |
| Leo O Powers | Chiropractic | 2585 Post Rd, Plover, WI 54467-3334 | |
| Mark S Ensweiler | Chiropractic | Lotus Healing Arts LLC | 2610 Post Rd, Plover, WI 54467-3388 |
| Charity A Millard | Chiropractic | Lotus Healing Arts LLC | 2610 Post Rd, Plover, WI 54467-3388 |
| Larry J Woods | Optometry | 2801 Willow Dr, Plover, WI 54467-3403 | |
| Steve Xiong | Physician Assistant | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Anna K Nummelin | Nurse Practitioner | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Benjamin J Phelan | Physician Assistant | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Anneliese E Bessette | Nurse Practitioner | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Find all physicians in zip 54467 | |||
| City | PLOVER |
| Zip Code | 54467 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PLOVER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bolanle O Gbadebo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.