DR. ADEKOYEJO B ADENUGA (NPI# 1003066440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003066440 |
| Entity Type | Individual |
| Full Name | DR. ADEKOYEJO B ADENUGA |
| Credential | M.D. |
| Practice Address |
901 Kimole Ln Suite B2 Adrian MI 49221-1491 |
| Practice Telephone | 5172651981 |
| Practice Fax Number | 5172631001 |
| Mailing Telephone | 5172651981 |
| Mailing Fax Number | 5172631001 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301068655 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4843556 | 05 | |
| MI | HEALTH PLAN OF MICHIGAN | 5697 | 01 |
| MI | PRIORITY HEALTH CARE | 7000339381 | 01 |
| MI | GREAT LAKES HEALTH PLAN | 101149 | 01 |
| MI | CIGNA | 6862713 | 01 |
| MI | PARAMOUNT HEALTHCARE | 03774 | 01 |
| MI | BCBS | 0461056 | 01 |
| Street Address |
901 KIMOLE LN SUITE B2 |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-1491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184624934 | Tatiana Masyk | Family Medicine | 901 Kimole Ln, Suite A-4, Adrian, MI 49221-1491 | 2005-07-22 |
| 1841535762 | Ryan Knape | Physician Assistant | 901 Kimole Ln, Suite A-4, Adrian, MI 49221-1491 | 2012-12-04 |
| 1548540610 | Monica Jane Lutz | Physician Assistant | 901 Kimole Ln, B-1, Adrian, MI 49221-1491 | 2011-08-22 |
| 1891953352 | Melissa Marie Baer | Obstetrics & Gynecology | 901 Kimole Ln, Suite A-1, Adrian, MI 49221-1491 | 2008-05-30 |
| 1841419421 | Victor Joseph Cherfan Jr. | Obstetrics & Gynecology | 901 Kimole Ln, Suite A-1, Adrian, MI 49221-1491 | 2007-04-24 |
| 1154548592 | Promedica Corporation of Michigan | Obstetrics & Gynecology | 901 Kimole Ln, Suite A-1, Adrian, MI 49221-1491 | 2007-04-19 |
| 1568581148 | Elizabeth J Szynkowski | Dietitian, Registered | 901 Kimole Ln, Suite A-4, Adrian, MI 49221-1491 | 2007-03-28 |
| 1841322286 | Steven M Smolinski | Obstetrics & Gynecology | 901 Kimole Ln, Suite A-1, Adrian, MI 49221-1491 | 2007-03-12 |
| 1477689859 | Promedica Corporation of Michigan | Family Medicine | 901 Kimole Ln, Suite A-4, Adrian, MI 49221-1491 | 2007-02-27 |
| 1669508404 | Louise Anne Justus | Physician Assistant | 901 Kimole Ln, Adrian, MI 49221-1491 | 2007-02-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124313861 | Rajamathias Y Reddy Md, Pllc | Pediatrics | 901 Kimole Ln Ste B3, Adrian, MI 49221-1491 | 2011-06-10 |
| 1356575872 | Ashley Elizabeth Turek | Pediatrics | 9 Maumee Ct, Adrian, MI 49221-2503 | 2009-05-12 |
| 1497758650 | Asuncion Q Luz | Pediatrics | 770 Riverside Ave, Suite 17, Adrian, MI 49221-1476 | 2005-05-23 |
| 1790104057 | Naheed Rafiq | Pediatrics | 3245 N Adrian Hwy Ste A, Adrian, MI 49221 | 2014-04-15 |
| 1225127848 | Rajamathias Y Reddy | Pediatrics | 901 Kimole Ln, Ste B3, Adrian, MI 49221-1491 | 2006-10-12 |
| 1063513943 | Nuga Pediatrics Lenawee, Pllc | Pediatrics | 901 Kimole Ln, Ste B2, Adrian, MI 49221-1491 | 2006-09-26 |
| 1760431407 | Rose Marie Hunter | Pediatrics | 901 Kimole Ln, Suite B-1, Adrian, MI 49221-1491 | 2006-05-09 |
| 1932158136 | Tharackandathil Ooran Shanavas | Pediatrics | 901 Kimole Ln, Suite B-1, Adrian, MI 49221-1491 | 2006-05-08 |
| 1841249760 | A. Hajyousef, Md PC | Pediatrics | 901 Kimole Ln, Suite B-1, Adrian, MI 49221-1491 | 2006-05-08 |
| 1306895693 | Victoria A Powell | Pediatrics | 225 Riverside Ave, Adrian, MI 49221-1539 | 2006-05-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.