KAYODE M BALOGUN (NPI# 1033759089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033759089 |
| Entity Type | Individual |
| Full Name | KAYODE M BALOGUN |
| Credential | MD |
| Practice Address |
916 Olive St Saint Louis MO 63101-1400 |
| Practice Telephone | 6362533000 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 2019014740 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598825598 | Kayode Ebed-melech Balogun Sr. | Pharmacist | 4014 Lancaster Ave, Philadelphia, PA 19104-1712 | 2006-12-11 |
| Street Address |
916 OLIVE ST |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63101-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033313937 | Loon-tzian Lo | Psychiatry & Neurology | 916 Olive St, # 304, Saint Louis, MO 63101-1459 | 2007-06-13 |
| 1548867963 | Elizabeth Savika Liotta | Family Medicine | 916 Olive St, Saint Louis, MO 63101-1400 | 2020-10-08 |
| 1437756186 | Kamil Rehmani Dar | Family Medicine | 916 Olive St, Saint Louis, MO 63101-1400 | 2020-10-06 |
| 1982214714 | Mahmoud Salah Issa | General Practice | 916 Olive St, Saint Louis, MO 63101-1400 | 2020-08-06 |
| 1932731817 | Michael F Moll | Emergency Medicine | 916 Olive St, Saint Louis, MO 63101-1400 | 2020-02-07 |
| 1447899489 | Mohammed Mufis Shaikh | Physician Assistant | 916 Olive St, Saint Louis, MO 63101-1400 | 2019-12-21 |
| 1497301832 | Jabeen Fatima | Emergency Medicine | 916 Olive St, Saint Louis, MO 63101-1400 | 2019-08-12 |
| 1770137853 | James Paul Chiou | Internal Medicine | 916 Olive St, Saint Louis, MO 63101-1400 | 2019-07-28 |
| 1942863329 | Nitin Jindal | Family Medicine | 916 Olive St, Saint Louis, MO 63101-1400 | 2019-04-21 |
| 1427515907 | Max Huang | Internal Medicine | 916 Olive St, Saint Louis, MO 63101-1400 | 2019-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992342661 | St. Louis General Hospital | Clinic/Center | 916 Olive Street, St Louis, MO 63101 | 2019-12-02 |
| 1285142711 | The Community Wellness Project | Preventive Medicine | 906 Olive Street, Suite 904, St. Louis, MO 63101 | 2018-01-18 |
| 1427591734 | David Keith Barton | Counselor | 800 North Tucker, St. Louis, MO 63101 | 2016-11-18 |
| 1477965176 | Robin Ann Kundra Md | Internal Medicine | 916 Olive Street #312, St. Louis, MO 63101 | 2014-05-29 |
| 1942494190 | Deami Faida Watson | Speech-Language Pathologist | 801 N 11th Street, Saint Louis, MO 63101 | 2007-08-30 |
| 1104049618 | Mahoney and Ballard Dmd Inc | Dentist | 720 Olive Street, Suite 1700, Saint Louis, MO 63101 | 2007-04-11 |
| 1891827259 | North County Chiropractic & Rehab, Inc | Chiropractor | 7189 Lindenbergh Blvd N, Hazlewood, MO 63101 | 2007-03-12 |
| 1063561769 | Christopher Bradley Hill | Dentist | 1113 Locust Street, St. Louis, MO 63101 | 2007-01-10 |
| 1629148903 | Perry Bartels | Dentist | 515 Olive Street Suite 1802, Saint Louis, MO 63101 | 2006-11-08 |
| 1487179859 | Jamie Mufson | Speech-Language Pathologist | 801 N 11th St, Saint Louis, MO 63101 | 2017-08-07 |
| Find all providers in zip 63101 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205854 | Zachary Avital Goodman | General Practice | 6642 Clayton Rd # 278, Saint Louis, MO 63117-1602 | 2017-06-20 |
| 1174926224 | Anita Dewan | General Practice | 9917 Grandview Forest Ct, Saint Louis, MO 63127-0046 | 2014-10-03 |
| 1356755201 | Jessica Ellie Ma | General Practice | 216 S Kingshighway Blvd Fl 6, 6th Floor, Saint Louis, MO 63110-1026 | 2014-06-19 |
| 1235550385 | Doctor's On The Way, Inc | General Practice | 712 N 2nd St, Ste 310, Saint Louis, MO 63102-2550 | 2013-12-16 |
| 1518398916 | John Allen Cooper | General Practice | 40 N Kingshighway Blvd Apt 13f, Saint Louis, MO 63108-1343 | 2013-12-10 |
| 1417382821 | Hyung T Kim | General Practice | 11 Crestwood Dr, Saint Louis, MO 63105-3032 | 2013-09-05 |
| 1356617443 | Kirsten Frances Dunn | General Practice | 1040 N Mason Rd Ste 103, Ste 103, Saint Louis, MO 63141-6361 | 2012-03-22 |
| 1902199623 | Care Plus Medical Group LLC | General Practice | 10650 Gateway Blvd, Saint Louis, MO 63132-1802 | 2011-05-27 |
| 1437474202 | Debra Lynne Moss | General Practice | 12929 Ballantine Ct, Saint Louis, MO 63146-3701 | 2010-04-05 |
| 1558538850 | Patrice Lynn Wakefield | General Practice | 514 Donne Ave, Saint Louis, MO 63130-3918 | 2008-05-15 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63101 |
Please comment or provide details below to improve the information on KAYODE M BALOGUN.
| 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.