Olaniyi O Osuntokun (NPI# 1548375058, PAC ID# 9739362633) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1548375058 |
| PAC ID by PECOS | 9739362633 |
| Professional Enrollment ID | I20110331000119 |
| Full Name | Olaniyi O Osuntokun |
| Organization Legal Name | SYCAMORE SPRINGS PHYSICIAN GROUP LLC |
| Address |
833 Park E Blvd Lafayette IN 47905-0785 |
| Phone Number | 7657434400 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2062634991 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150084 | ST. VINCENT HOSPITALS AND HEALTH SERVICES |
| 150030 | HENRY COUNTY MEMORIAL HOSPITAL |
| 150109 | FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE EAST |
| Address | Phone | Organization |
|---|---|---|
| 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 7653648942 | FRANCISCAN PHYSICIAN NETWORK |
| 6720 Parkdale Pl, Indianapolis, IN 46254-4668 | 6152509500 | AIMS LLC |
| 1501 Hartford St, Lafayette, IN 47904-2134 | 7654236011 | FRANCISCAN PHYSICIAN NETWORK |
| 833 Park E Blvd, Lafayette, IN 47905-0785 | 7657434400 | SYCAMORE SPRINGS PHYSICIAN GROUP LLC |
| Organization Legal Name | SYCAMORE SPRINGS PHYSICIAN GROUP LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Gwin | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Vishal Viswam | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Sonia B Yballe | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Azubike Nwokedi | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Kathleen Jane Halverson | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Timothy Poquette | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Morgan Amelia Mccormick | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Katherine M Hafer | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Rahila I Qazi | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Curtis Stennett | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Street Address |
833 PARK E BLVD |
| City | LAFAYETTE |
| State | IN |
| Zip | 47905-0785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Gwin | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Vishal Viswam | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Sonia B Yballe | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Azubike Nwokedi | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Kathleen Jane Halverson | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Timothy Poquette | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Morgan Amelia Mccormick | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Katherine M Hafer | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Rahila I Qazi | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Curtis Stennett | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Alane Lewis | Optometry | Myeyedr Optometry of Indiana LLC | 100 S Creasy Ln, Suite 1530, Lafayette, IN 47905-0757 |
| Clyde Hugo Yan | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Patrick R Mcguire | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Shahbaz Qavi | Pain Management | Lafayette Pain Care, P.C. | 770 Park E Blvd B, Lafayette, IN 47905-0786 |
| Judy A Mcintosh | Nurse Practitioner | Lafayette Pain Care, P.C. | 770 Park E Blvd, Lafayette, IN 47905-0786 |
| Edgar Martinez | Anesthesiology | Lafayette Pain Care, P.C. | 770 Park E Blvd B, Lafayette, IN 47905-0786 |
| Mallory C Cross | Physician Assistant | Lafayette Emergency Care PC | 950 Park E Blvd, Lafayette, IN 47905-0792 |
| Brett A Henrikson | Oral Surgery | Lafayette Oral and Maxillofacial Surgery Group, P.C. | 953 Park E Blvd A, Lafayette, IN 47905-0792 |
| Jonathon L Christiansen | Physician Assistant | Lafayette Emergency Care PC | 950 Park E Blvd, Lafayette, IN 47905-0792 |
| Deepthi S Cull | Physical Medicine and Rehabilitation | 950 Park E Blvd, Lafayette Regional Rehab, Lafayette, IN 47905-0792 | |
| Find all physicians in zip 47905 | |||
| City | LAFAYETTE |
| Zip Code | 47905 |
| Specialty | PSYCHIATRY |
| City + Specialty | LAFAYETTE + PSYCHIATRY |
Please comment or provide details below to improve the information on Olaniyi O Osuntokun.
| 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.