Olabode Olumofin (NPI# 1720025513, PAC ID# 9638069727) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1720025513 |
| PAC ID by PECOS | 9638069727 |
| Professional Enrollment ID | I20040319001493 |
| Full Name | Olabode Olumofin |
| Address |
1801 W 40th Suite 1c Pine Bluff AR 71603-7008 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040071 | JEFFERSON REGIONAL MEDICAL CENTER |
| 041308 | MCGEHEE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1801 W, 40th Suite 1c, Pine Bluff, AR 71603-7008 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_204_overall | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 99% |
| Street Address |
1801 W 40TH SUITE 1C |
| City | PINE BLUFF |
| State | AR |
| Zip | 71603-7008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lon G Bitzer | General Surgery | 1801 W, 40th Suite 4c, Pine Bluff, AR 71603-6961 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodolfo E Lim | Diagnostic Radiology | Pine Bluff Radiologists, Ltd | 1801 W 40th St, Pine Bluff, AR 71603 |
| Syed A Samad | Gastroenterology | Digestive Care P A | 4800 Hazel St, Pine Bluff, AR 71603-2797 |
| Cyrus Tamboli | Gastroenterology | Digestive Care P A | 4800 Hazel St, Pine Bluff, AR 71603-2797 |
| Denise Jarrett | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Bessie Lancelin | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Abeer Washington | Psychiatry | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Diane C. Boyd | Nurse Practitioner | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Joyce A Walker | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Terrell P Bishop | Psychiatry | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Cynthia G Slaughter | Clinical Social Worker | Southeast Arkansas Behavioral Healthcare System Inc | 2500 Rike Dr, Pine Bluff, AR 71603-3937 |
| Find all physicians in zip 71603 | |||
| City | PINE BLUFF |
| Zip Code | 71603 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PINE BLUFF + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Olabode Olumofin.
| 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.