Goldameir Akingbola (NPI# 1033592548, PAC ID# 1850645169) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1033592548 |
| PAC ID by PECOS | 1850645169 |
| Professional Enrollment ID | I20181126000869 |
| Full Name | Goldameir Akingbola |
| Organization Legal Name | OMNI MEDICAL GROUP INC |
| Address |
1021 E Bryan Ave Sapulpa OK 74066-4512 |
| Phone Number | 9182271000 |
| Gender | F |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9739080490 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370114 | ST JOHN MEDICAL CENTER, INC |
| 371312 | ST JOHN SAPULPA, INC |
| 370091 | SAINT FRANCIS HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 1021 E Bryan Ave, Sapulpa, OK 74066-4512 | 9182271000 | OMNI MEDICAL GROUP INC |
| 1923 S Utica Ave, Tulsa, OK 74104-6520 | 9187442967 | OMNI MEDICAL GROUP INC |
| Organization Legal Name | OMNI MEDICAL GROUP INC |
| Physicians | 96 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitzi Blanchard | Nurse Practitioner | Omni Medical Group Inc | 1421 E 13th St, Tulsa, OK 74120-5207 |
| Kelly R Wratten | Nurse Practitioner | Omni Medical Group Inc | 8115 S Memorial Dr, Tulsa, OK 74133-4331 |
| Ana Trujillo | Nurse Practitioner | Omni Medical Group Inc | 4720 S Harvard Ave, Suite 100, Tulsa, OK 74135-3023 |
| Michael H Vu | Family Medicine | Omni Medical Group Inc | 800 W Boise Cir, Suite 160, Broken Arrow, OK 74012-4932 |
| Brian T Crotty | Family Medicine | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| David L Smith | Family Medicine | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
| Michelle Green | Physician Assistant | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| Monica A Lee | Physician Assistant | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| Patricia Duffy-feins | Clinical Social Worker | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| Christopher R Klotz | Family Medicine | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
| Street Address |
1021 E BRYAN AVE |
| City | SAPULPA |
| State | OK |
| Zip | 74066-4512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Misty Dawn Stephens | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Jeremy Ransdell | Family Medicine | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Jill Rae Johnson | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Sarah Renea Gilbert | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Carrie Irene Cross | Physician Assistant | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Shantel Laniece Bolton | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Terroll Gene Ramsey | Family Medicine | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Romy Lee Hafner | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasey M. Nichols | Chiropractic | 200 N Mission, Suite A, Sapulpa, OK 74066-3606 | |
| James Russell | Family Medicine | 308 S Main St, Sapulpa, OK 74066-4110 | |
| Kayla Warner | Nurse Practitioner | 124 E Dewey Ave, Suite A, Sapulpa, OK 74066-4204 | |
| Larry W Higgs | Optometry | Drs Higgs and Morris Optometrists Inc | 17 S Oak St, Sapulpa, OK 74066-4312 |
| Dennis M Morris | Optometry | Drs Higgs and Morris Optometrists Inc | 17 S Oak St, Sapulpa, OK 74066-4312 |
| Dana L Terrell | Anesthesiology | St. John Anesthesia Services, Inc. | 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 |
| Paul S Carlson | Anesthesiology | St. John Anesthesia Services, Inc. | 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 |
| Sean K Benton | Anesthesiology | St. John Anesthesia Services, Inc. | 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 |
| Diane L Pentecost | Anesthesiology | St. John Anesthesia Services, Inc. | 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 |
| Sarah Lynn Cook | Optometry | Hubertina J M Hagen Od Inc PC | 1029 E Taft Ave, Eye To Eye Family Vision Care, Sapulpa, OK 74066-4570 |
| Find all physicians in zip 74066 | |||
| City | SAPULPA |
| Zip Code | 74066 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAPULPA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Goldameir Akingbola.
| 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.