Oluyemisi R Sangodeyi (NPI# 1487651717, PAC ID# 1850361676) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1487651717 |
PAC ID by PECOS | 1850361676 |
Professional Enrollment ID | I20100120000251 |
Full Name | Oluyemisi R Sangodeyi |
Organization Legal Name | MED SURG PHYSICIAN GROUP, INC |
Address |
379 Stanaford Rd Beckley WV 25801-3141 |
Phone Number | 3042533000 |
Gender | M |
Credential | MD |
Graduation Year | 1972 |
Primary Specialty | GENERAL SURGERY |
Secondary Specialties | GENERAL PRACTICE |
Group Practice PAC ID | 2365710761 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
510070 | RALEIGH GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
379 Stanaford Rd, Beckley, WV 25801-3141 | 3042533000 | MED SURG PHYSICIAN GROUP, INC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_047_overall | Care Plan | 15% | |
MIPS_EC_047_overall | Care Plan | 15% |
Organization Legal Name | MED SURG PHYSICIAN GROUP, INC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Timothy Watson | Physician Assistant | Med Surg Physician Group, Inc | 379 Stanaford Rd, Beckley, WV 25801-3141 |
Victoria Leigh Fondale | Clinical Social Worker | Med Surg Physician Group, Inc | 379 Stanaford Rd, Beckley, WV 25801-3141 |
Street Address |
379 STANAFORD RD |
City | BECKLEY |
State | WV |
Zip | 25801-3141 |
Name | Specialty | Organization | Address |
---|---|---|---|
Timothy Watson | Physician Assistant | Med Surg Physician Group, Inc | 379 Stanaford Rd, Beckley, WV 25801-3141 |
Victoria Leigh Fondale | Clinical Social Worker | Med Surg Physician Group, Inc | 379 Stanaford Rd, Beckley, WV 25801-3141 |
Jeffrey E Shook | Podiatry | Med-surg Group Incorporated | 379 Stanaford Rd, Beckley, WV 25801-3141 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jose Landic Oyco | Internal Medicine | Appalachian Mountains Medical LLC | 105 S Eisnhower Dr, Beckley, WV 25801 |
Shirkant Bembalkar | Internal Medicine | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
Scott C Lostetter | Family Medicine | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
Gina Jereza-harris | Obstetrics/gynecology | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
Kyle Muscari | General Practice | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
Richard Dwight Meadows Jr. | General Practice | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
Ryan Donald Newell | Family Medicine | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
Johnny G Walker Iii | Family Medicine | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
Roy R Wolfe Jr. | Obstetrics/gynecology | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
Juddson D Lindley | Obstetrics/gynecology | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
Find all physicians in zip 25801 |
City | BECKLEY |
Zip Code | 25801 |
Specialty | GENERAL SURGERY |
City + Specialty | BECKLEY + GENERAL SURGERY |
Please comment or provide details below to improve the information on Oluyemisi R Sangodeyi.
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.