THEOPHILUS TOLULOPE OGUNGBAMIGBE (NPI# 1043231228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043231228 |
| Entity Type | Individual |
| Full Name | THEOPHILUS TOLULOPE OGUNGBAMIGBE |
| Credential | MD |
| Practice Address |
823 Sw Mulvane St Topeka KS 66606-1764 |
| Practice Telephone | 7853549591 |
| Mailing Telephone | 7853549591 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2014-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
04-32614 | KS | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
04-32614 | KS | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
04-32614 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 230637 | 01 |
| KS | MEDICARE PTAN | 106587 | 01 |
| KS | 200438400A | 05 | |
| KS | RAILROAD MEDICARE | P00426465 | 01 |
| Street Address |
823 SW MULVANE ST |
| City | TOPEKA |
| State | KS |
| Zip Code | 66606-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955121 | Christopher Patrick Cote | Physician Assistant | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2005-07-07 |
| 1679174932 | Chelsea Head | Registered Nurse | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2020-11-03 |
| 1346888302 | Kelly Sidlinger | Registered Nurse | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2019-12-20 |
| 1942777065 | Shad Aaron Bowers | Nurse Anesthetist, Certified Registered | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2018-10-26 |
| 1073090783 | Elizabeth Martin | Nurse Practitioner | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2018-07-25 |
| 1962903583 | Barbara R Turner | Nurse Practitioner | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2018-02-28 |
| 1760996516 | Samantha Keating | Registered Nurse | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2017-11-30 |
| 1972016053 | Jana R Ortega | Nurse Practitioner | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2017-11-10 |
| 1649797762 | Veronica A Mcpike | Nurse Practitioner | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2017-08-29 |
| 1295251239 | Morgan Barney | Physician Assistant | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2017-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843198 | Ashley Biggs | Nurse Practitioner | 823 Sw Mulvane, Ste 200, Topeka, KS 66606 | 2019-10-21 |
| 1952969925 | Danielle Marie Spencer | Physician Assistant | 823 Sw Mulvane, Ste 330, Topeka, KS 66606 | 2019-06-04 |
| 1174084545 | Samantha Brummell | Social Worker | 3707 Sw 6th, Topeka, KS 66606 | 2019-03-28 |
| 1659810372 | Jayme Jo Mejia | Nurse Practitioner | 200 Sw Frazier Circle, Topeka, KS 66606 | 2017-02-14 |
| 1497122139 | Andrew Q Etheridge | Case Manager/Care Coordinator | 325 Sw Frazier, Family Service & Guidance Center, Topeka, KS 66606 | 2015-08-28 |
| 1962817254 | Kelsie Maxwell | Clinic/Center | 1315 Sw 6th Ave Suite B, Topeka, KS 66606 | 2014-06-25 |
| 1548684202 | Kimberly Ann Spencer | Counselor | 1500 Sw 10th Avenue, Topeka, KS 66606 | 2014-02-14 |
| 1730501859 | Ryan Kemp-pappan | Counselor | Valeo Behavioral Health Care, 330 Sw Oakley Ave, Topeka, KS 66606 | 2014-01-08 |
| 1750710935 | Dia L Orear | Nurse Practitioner | 1700 Sw 7th Street, 2nd Floor, Topeka, KS 66606 | 2013-11-07 |
| 1609174523 | Elizabeth Husted | Community Health Worker | 5301 Sw 7th St., Topeka, KS 66606 | 2011-03-01 |
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| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851368344 | Kansas Sleep & Breathing Clinic, Pa | Internal Medicine | 634 Sw Horne St, Suite 410, Topeka, KS 66606-1652 | 2006-03-02 |
| 1821659061 | Jennifer Jo Warren | Internal Medicine | 1700 Sw 7th St, Topeka, KS 66606-2489 | 2019-06-27 |
| 1396051595 | Hassan Salem Taha | Internal Medicine | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2010-08-25 |
| 1982868097 | Salah Najm | Internal Medicine | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2008-07-17 |
| 1275532657 | Ted W Daughety | Internal Medicine | 631 Sw Horne St, Suite 410, Topeka, KS 66606-1663 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699224329 | Hassan Alhariri | Internal Medicine | 10208 W 147th St, Overland Park, KS 66221-9659 | 2016-09-22 |
| 1508108929 | Peter Lawrence Almenoff | Internal Medicine | 12512 Barton St, Overland Park, KS 66213-2139 | 2013-03-24 |
| 1417297458 | Daniel L Schlozman | Internal Medicine | 6600 Overhill Rd, Mission Hills, KS 66208-1964 | 2013-02-28 |
| 1184913923 | Andrew Lucas Bozarth | Internal Medicine | 5701 W 119th St Ste 320, Overland Park, KS 66209-3721 | 2011-04-01 |
| 1780995720 | Michelle Ann Homan | Internal Medicine | 3901 Rainbow Blvd # Ms 3007, Pulmonary Fellowship, Kansas City, KS 66160-8500 | 2010-06-24 |
| 1326209081 | James Henry Ralstin | Internal Medicine | 14708 W 71st Ter, Shawnee, KS 66216-4005 | 2008-06-24 |
| 1639370992 | Stephen F Hagan Md | Internal Medicine | 1035 N Emporia St Ste 158, Wichita, KS 67214-2938 | 2007-05-31 |
| 1275554099 | Central Family Medicine | Internal Medicine | 720 Central Ave, Kansas City, KS 66101-3546 | 2006-07-21 |
| 1811947005 | Shawnee Mission Pulmonary Consultants, P.a. | Internal Medicine | 8901 W. 74th Street, Suite 390, Shawnee Mission, KS 66204 | 2006-05-11 |
| 1962469957 | John D Flesher | Internal Medicine | 9350 E 35th St N Ste 104, Wichita, KS 67226-2022 | 2006-04-26 |
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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.