Omololu D Kafisanwo (NPI# 1518453208, PAC ID# 3971850611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1518453208 |
| PAC ID by PECOS | 3971850611 |
| Professional Enrollment ID | I20180726000154 |
| Full Name | Omololu D Kafisanwo |
| Organization Legal Name | MID-AMERICA ANESTHESIA CONSULTANTS, PC |
| Address |
1600 E Broadway Columbia MO 65201-5897 |
| Phone Number | 5738155511 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 6305837626 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260068 | BOONE HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1600 E Broadway, Columbia, MO 65201-5897 | 5738155511 | MID-AMERICA ANESTHESIA CONSULTANTS, PC |
| Organization Legal Name | MID-AMERICA ANESTHESIA CONSULTANTS, PC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas W Meyer | Anesthesiology | Mid-america Anesthesia Consultants, PC | 1600 E Broadway, Columbia, MO 65201-5897 |
| Robert Anthony Poepsel | Certified Registered Nurse Anesthetist (crna) | Mid-america Anesthesia Consultants, PC | 305 N Keen St, Suite 107, Columbus, MO 65201-6897 |
| Steven J Dalbec | Anesthesiology | Mid-america Anesthesia Consultants, PC | 1600 E Broadway, Columbia, MO 65201-5897 |
| Don J Gibson | Anesthesiology | Mid-america Anesthesia Consultants, PC | 1600 E Broadway, Columbia, MO 65201-5897 |
| Abram J Elsenraat | Anesthesiology | Mid-america Anesthesia Consultants, PC | 1600 E Broadway, Columbia, MO 65201-5897 |
| Bradley A Korman | Certified Registered Nurse Anesthetist (crna) | Mid-america Anesthesia Consultants, PC | 1600 E Broadway, Columbia, MO 65201-5897 |
| Mark E Cohen | Anesthesiology | Mid-america Anesthesia Consultants, PC | 1600 E Broadway, Columbia, MO 65201-5897 |
| Dana S Bal | Anesthesiology | Mid-america Anesthesia Consultants, PC | 1600 E Broadway, Columbia, MO 65201-5897 |
| Paul H Thompson | Anesthesiology | Mid-america Anesthesia Consultants, PC | 1600 E Broadway, Columbia, MO 65201-5897 |
| Megan Jo Ungerer | Certified Registered Nurse Anesthetist (crna) | Mid-america Anesthesia Consultants, PC | 1600 E Broadway, Columbia, MO 65201-5897 |
| Street Address |
1600 E BROADWAY |
| City | COLUMBIA |
| State | MO |
| Zip | 65201-5897 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas W Meyer | Anesthesiology | Mid-america Anesthesia Consultants, PC | 1600 E Broadway, Columbia, MO 65201-5897 |
| Robert E Frazier | Psychiatry | Boone Physician Services LLC | 1600 E Broadway, Columbia, MO 65201-5844 |
| Rebekah C Bail | Nurse Practitioner | Boone Physician Services LLC | 1600 E Broadway, Columbia, MO 65201-5844 |
| David T James Iii | Hospitalist | Boone Physician Services LLC | 1600 E Broadway, Columbia, MO 65201-5844 |
| Steven J Dalbec | Anesthesiology | Mid-america Anesthesia Consultants, PC | 1600 E Broadway, Columbia, MO 65201-5897 |
| Don J Gibson | Anesthesiology | Mid-america Anesthesia Consultants, PC | 1600 E Broadway, Columbia, MO 65201-5897 |
| Abram J Elsenraat | Anesthesiology | Mid-america Anesthesia Consultants, PC | 1600 E Broadway, Columbia, MO 65201-5897 |
| Artem I. Ryazantsev | Hospitalist | Boone Physician Services LLC | 1600 E Broadway, Columbia, MO 65201-5844 |
| Stephanie Whitbey | Nurse Practitioner | Boone Physician Services LLC | 1600 E Broadway, Columbia, MO 65201-5844 |
| Bradley A Korman | Certified Registered Nurse Anesthetist (crna) | Mid-america Anesthesia Consultants, PC | 1600 E Broadway, Columbia, MO 65201-5897 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald H Heisler | Clinical Psychologist | 1316 S Old Hwy 63, Columbia, MO 65201 | |
| Amanda J Fischer | General Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Erica H Salinas | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jennifer Lynn Sanford | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jane A Vaughan | Nurse Practitioner | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Ashley Marie Hardesty | Nurse Practitioner | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| John G Adams Jr. | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Kimberly C Suppes | General Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Erik M Grossmann | Colorectal Surgery (proctology) | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jeffrey Roland Nolting | Psychologist, Clinical | Deer Oaks Mental Health Associates PC | 3105 Bluff Creek Dr, Columbia, MO 65201-3529 |
| Find all physicians in zip 65201 | |||
| City | COLUMBIA |
| Zip Code | 65201 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | COLUMBIA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Omololu D Kafisanwo.
| 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.