Oluyomi Olusanya (NPI# 1457302937, PAC ID# 7315996394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1457302937 |
PAC ID by PECOS | 7315996394 |
Professional Enrollment ID | I20050117000467 |
Full Name | Oluyomi Olusanya |
Organization Legal Name | ROLLA URGENT CARE, LLC |
Address |
1060 S Bishop Ave Rolla MO 63131-4465 |
Phone Number | 5734265900 |
Gender | M |
Credential | MD |
Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1999 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 4789697863 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
261337 | MISSOURI BAPTIST SULLIVAN HOSPITAL |
260017 | PHELPS COUNTY REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1060 S Bishop Ave, Rolla, MO 63131-4465 | 5734265900 | ROLLA URGENT CARE, LLC |
Organization Legal Name | ROLLA URGENT CARE, LLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alexis R West | Nurse Practitioner | Rolla Urgent Care, LLC | 1060 S Bishop Ave, Rolla, MO 63131-4465 |
Dawn R Tope | Nurse Practitioner | Rolla Urgent Care, LLC | 1060 S Bishop Ave, Rolla, MO 63131-4465 |
Shaundelle A Olusanya | Nurse Practitioner | Rolla Urgent Care, LLC | 1060 S Bishop Ave, Rolla, MO 63131-4465 |
Street Address |
1060 S BISHOP AVE |
City | ROLLA |
State | MO |
Zip | 63131-4465 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alexis R West | Nurse Practitioner | Rolla Urgent Care, LLC | 1060 S Bishop Ave, Rolla, MO 63131-4465 |
Dawn R Tope | Nurse Practitioner | Rolla Urgent Care, LLC | 1060 S Bishop Ave, Rolla, MO 63131-4465 |
Shaundelle A Olusanya | Nurse Practitioner | Rolla Urgent Care, LLC | 1060 S Bishop Ave, Rolla, MO 63131-4465 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sajid Zafar | Gastroenterology | 12950 Woodlark Ln, Saint Louis, MO 63131-1314 | |
Kira S Mailey | Nephrology | 18 Chapel Hill Est, Saint Louis, MO 63131-1315 | |
Laura A Baldridge | Nurse Practitioner | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
Megan M Cox | Nurse Practitioner | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
Daniel P Gogliotti | Chiropractic | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
Jessica L Hilgedick | Chiropractic | Superior Healthcare Physical Medicine of West County LLC | 2121 Barrett Station Rd, Saint Louis, MO 63131-1606 |
Robert Becker | Psychologist, Clinical | 2190 S Mason Rd, Suite 200, Saint Louis, MO 63131-1637 | |
Lauren Christine Sanderson | Nurse Practitioner | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
Sona Kamat | Internal Medicine | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
Allison Anne Krull | Nurse Practitioner | West County Rheumatology LLC | 13100 Manchester Rd, Saint Louis, MO 63131-1703 |
Find all physicians in zip 63131 |
City | ROLLA |
Zip Code | 63131 |
Specialty | INTERNAL MEDICINE |
City + Specialty | ROLLA + INTERNAL MEDICINE |
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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.