Simon Okewole (NPI# 1205000296, PAC ID# 5294898557) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1205000296 |
| PAC ID by PECOS | 5294898557 |
| Professional Enrollment ID | I20130924000431 |
| Full Name | Simon Okewole |
| Organization Legal Name | DELTA CLINICS PLC |
| Address |
350 E Parkview St Dyersburg TN 38024-3110 |
| Phone Number | 7313345312 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 5193022994 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| 440072 | DYERSBURG REGIONAL MEDICAL CENTER |
| 440109 | HARDIN MEDICAL CENTER |
| 441314 | LAUDERDALE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 350 E Parkview St, Dyersburg, TN 38024-3110 | 7313345312 | DELTA CLINICS PLC |
| 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 7315120104 | DELTA CLINICS PLC |
| Organization Legal Name | DELTA CLINICS PLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gurpreet S Maur | Cardiovascular Disease (cardiology) | Delta Clinics Plc | 9486 Hwy 412 W, Lexington, TN 38351-5713 |
| Holly B Bunch | Nurse Practitioner | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Heather M Mckee | Internal Medicine | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Naji Bourji | Cardiovascular Disease (cardiology) | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Penni C Cannady | Nurse Practitioner | Delta Clinics Plc | 350 E Parkview St, Dyersburg, TN 38024-3110 |
| Shanna L Wilkes | Nurse Practitioner | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Ethel B Spivey | Nurse Practitioner | Delta Clinics Plc | 350 E Parkview St, Dyersburg, TN 38024-3110 |
| Dum Piawa | Cardiovascular Disease (cardiology) | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Elliot Emile Kurban | Cardiovascular Disease (cardiology) | Delta Clinics Plc | 17 Centre Plaza Dr, Jackson, TN 38305-2862 |
| Nirav A Patel | Cardiovascular Disease (cardiology) | Delta Clinics Plc | 205 Hospital Dr, Mc Kenzie, TN 38201-1649 |
| Street Address |
350 E PARKVIEW ST |
| City | DYERSBURG |
| State | TN |
| Zip | 38024-3110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penni C Cannady | Nurse Practitioner | Delta Clinics Plc | 350 E Parkview St, Dyersburg, TN 38024-3110 |
| Ethel B Spivey | Nurse Practitioner | Delta Clinics Plc | 350 E Parkview St, Dyersburg, TN 38024-3110 |
| Norman Weinstein | Interventional Cardiology | Delta Clinics Plc | 350 E Parkview St, Dyersburg, TN 38024-3110 |
| Michael Braimah Saaka | Vascular Surgery | Delta Clinics Plc | 350 E Parkview St, Dyersburg, TN 38024-3110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy W Gatlin | Chiropractic | 1800 St John Ave, Dyersburg, TN 38024 | |
| Timothy D Sweo | Orthopedic Surgery | Noma PC | 1855 Hwy 51 Bypass, Suite B, Dyersburg, TN 38024 |
| James E Naifeh | Family Medicine | 640 Hwy 51 Bypass, Suite E, Dyersburg, TN 38024 | |
| James Tetleton | Nurse Practitioner | Mid-south Convenient Care, Pllc | 1445 Hwy 51 Bypass E, Suite B, Dyersburg, TN 38024 |
| Keata Anthony | Nurse Practitioner | Mid-south Convenient Care, Pllc | 1445 Hwy 51 Bypass E, Suite B, Dyersburg, TN 38024 |
| Kelly Lusk | Chiropractic | 1150 Hwy 51 By-pass W, Suite A, Dyersburg, TN 38024-0001 | |
| Eugene Michael Finan | Obstetrics/gynecology | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| Becky Bruce | Nurse Practitioner | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| William R Turner | Family Medicine | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| Kelley C Burg | Nurse Practitioner | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| Find all physicians in zip 38024 | |||
| City | DYERSBURG |
| Zip Code | 38024 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | DYERSBURG + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Simon Okewole.
| 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.