JADESOLA I OMOYENI (NPI# 1043567423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043567423 |
| Entity Type | Individual |
| Full Name | JADESOLA I OMOYENI |
| Other Name | JADESOLA I FAPOHUNDA |
| Credential | M.D |
| Practice Address |
1804 Ne Loop 410 Ste 101 San Antonio TX 78217-5211 |
| Practice Telephone | 2106141234 |
| Mailing Telephone | 2106141234 |
| Enumeration Date | 2012-08-05 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
R6776 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 385652802 | 05 | |
| TX | 385652801 | 05 |
| Street Address |
1804 NE LOOP 410 STE 101 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78217-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992728349 | Brenda M Garza | Nurse Anesthetist, Certified Registered | 1804 Ne Loop 410 Ste 101, San Antonio, TX 78217-5211 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390278 | Nadia Sanchez De Ramos | Counselor | 10615 Perrin Veitle, Ste. 402, San Antonio, TX 78217 | 2020-06-10 |
| 1104455518 | Lamonica Shantae Armond | Counselor | 4035 Narco Perrin Blvd Ste 2030, San Antonio, TX 78217 | 2020-04-07 |
| 1487282414 | Debra Pitts | Counselor | 10605 Perrin Beitel Rd, Suite 801, San Antonio, TX 78217 | 2020-03-27 |
| 1083241129 | Jena Lalley | Nurse Practitioner | 8723 Botts Lane, San Antonio, TX 78217 | 2020-03-26 |
| 1699307173 | Kingdom Outreach Center of San Antonio, Tx | Counselor | Kingdom Out Reach Center of San Antonio, 3819 Naco Perrin Blvd #118, San Antonio, TX 78217 | 2020-02-12 |
| 1881224277 | Tinyada Robinson | Recreation Therapist | 1777 Ne Interstate 410 Loop, Ste 1009, San Antonio, TX 78217 | 2020-01-24 |
| 1255996815 | Chelsey Lynn Guy | Dental Hygienist | 10231 Kotzebue St., San Antonio, TX 78217 | 2019-05-08 |
| 1972069144 | Emma Getic | Behavioral Analyst | 2391 Ne Interstate 410 Loop, Suite #304, San Antonio, TX 78217 | 2019-02-13 |
| 1487133781 | Rebecca Rendon | Registered Nurse | 8610 N. New Braunfels Ave, Ste. 405, San Antonio, TX 78217 | 2018-08-08 |
| 1326526922 | Charlene Michelle Turner | Registered Nurse | 8620 N New Braunfels Ave, #700, San Antonio, TX 78217 | 2018-08-06 |
| Find all providers in zip 78217 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1740611177 | Christie L Mannino | Internal Medicine | 19284 Stone Oak Pkwy Ste 102, San Antonio, TX 78258-3474 | 2013-12-11 |
| 1457549032 | Desh Bandhu Sharma | Internal Medicine | 3303 Rodgers Rd, Suite 250, San Antonio, TX 78251 | 2007-10-09 |
| 1912082355 | Joycelyn Marie Theard | Internal Medicine | 3338 Oak Well Ct, # 205, San Antonio, TX 78218 | 2006-10-26 |
| 1548350598 | Seema A Dar | Internal Medicine | 19284 Stone Oak Pkwy, Suite 102, San Antonio, TX 78258-3473 | 2006-10-13 |
| 1942390901 | Seema A Dar, Md Pa | Internal Medicine | 19284 Stone Oak Parkway, Suite 102, San Antonio, TX 78258-3474 | 2006-10-13 |
| 1275631525 | Komaranahalli P. Ganeshappa | Internal Medicine | 621 Camden Street, San Antonio, TX 78215-1639 | 2006-09-20 |
| 1174551766 | Fred F Poordad | Internal Medicine | 607 Camden St Ste 108, San Antonio, TX 78215 | 2006-06-30 |
| 1396799847 | Maria Rita Lepe Suastegui | Internal Medicine | 607 Camden St, Suite 101, San Antonio, TX 78215 | 2006-05-20 |
| 1558328302 | Victor S Ostrower | Internal Medicine | 8201 Ewing Halsell Dr, 2nd Flr., San Antonio, TX 78229-3707 | 2006-04-26 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78217 |
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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.