OMO IJE'S'A PLLC (NPI# 1003436197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003436197 |
| Entity Type | Organization |
| Organization Name | OMO IJE'S'A PLLC |
| Practice Address |
7309 E 28th St Tucson AZ 85710-5505 |
| Mailing Address |
Po Box 7362 Mcminnville TN 37111-7362 |
| Practice Telephone | 5103458981 |
| Practice Fax Number | 5202537229 |
| Mailing Telephone | 5103458981 |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | AKINBOLA ADEWOLE AJAYI-OBE (OWNER) |
| Authorized Official Telephone | 5103458981 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DEA | FA7154521 | 01 |
| Street Address |
7309 E 28TH ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
| Find all providers in zip 85710 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780216119 | Desert Blossom Speech & Language Center LLC | Clinic/Center | 7670 E Broadway Blvd Ste 303, Tucson, AZ 85710-3779 | 2020-02-04 |
| 1720619810 | Grateful Healling LLC | Clinic/Center | 5065 E 5th St, Tucson, AZ 85711-2113 | 2020-01-28 |
| 1144795147 | Maverick Medical Billing Services, LLC | Clinic/Center | 8340 N Thornydale Rd Ste 110203, Tucson, AZ 85741-1162 | 2018-10-05 |
| 1215424668 | Tucson/lenox, LLC - Health Clinic | Clinic/Center | 8600 E. Rockcliff Road, Tucson, AZ 85750-9733 | 2018-04-20 |
| 1104354752 | Sunbelt Medical Group LLC | Clinic/Center | 2850 North Country Club Road, Tucson, AZ 85716-1910 | 2017-05-26 |
| 1093183535 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 1010 E Palmdale St, Suite 150, Tucson, AZ 85714-3308 | 2015-09-14 |
| 1588059018 | Larry I Mann, Md | Clinic/Center | 3024 N Placita Fuente, Tucson, AZ 85715-3429 | 2015-04-01 |
| 1023448859 | Gary Olsen | Clinic/Center | 2450 E Speedway Blvd Ste 6, Tucson, AZ 85719-4748 | 2013-11-14 |
| 1770921934 | Zen Wei, Pllc | Clinic/Center | 3333 N Campbell Ave Ste 12, Tucson, AZ 85719-2362 | 2013-06-10 |
| 1194079889 | Diane Goedecke, Np, Women's Health Care | Clinic/Center | 2850 E Skyline Dr, Ste 130, Tucson, AZ 85718-8012 | 2012-11-01 |
| Find all providers in TUCSON | ||||
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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.