GRACE IYABO KOMOLAFE (NPI# 1053790816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053790816 |
| Entity Type | Individual |
| Full Name | GRACE IYABO KOMOLAFE |
| Credential | M.D. |
| Practice Address |
1 Medical Park Wheeling WV 26003 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 3042433000 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 28344 | WV | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13303 Jamaica Ave, Jamaica, NY 114182618 | 7182066942 |
| Street Address |
1 MEDICAL PARK |
| City | WHEELING |
| State | WV |
| Zip Code | 26003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821305 | Wheeling Hospital Inc | General Acute Care Hospital | 1 Medical Park, Wheeling, WV 26003 | 2005-06-15 |
| 1356940548 | Kaley Anne Kuzma | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6379 | 2020-10-20 |
| 1033724240 | Kyle Louis Pytlak | Dermatology | 1 Medical Park, Wheeling, WV 26003-6379 | 2020-09-14 |
| 1932713559 | Danielle Elyse Keyser | Physical Therapist | 1 Medical Park, Wheeling, WV 26003-6300 | 2020-09-01 |
| 1063022572 | Ryan P Hunker | Physical Therapist | 1 Medical Park, Wheeling, WV 26003-6300 | 2020-08-10 |
| 1306476254 | Jacquelyn Mcclain Marshall | Nurse Practitioner | 1 Medical Park, Wheeling, WV 26003-6300 | 2020-01-20 |
| 1427696889 | Debra Jo Zeroski | Nurse Practitioner | 1 Medical Park, Wheeling, WV 26003-6300 | 2019-12-17 |
| 1912548553 | Sierra Nicole Moore | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6379 | 2019-10-04 |
| 1861048035 | Jordan Rachelle Robinson | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6300 | 2019-08-14 |
| 1659927101 | Nicole Yvonne Larue | Occupational Therapist | 1 Medical Park, Wheeling, WV 26003-6379 | 2019-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
| 1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
| 1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
| 1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
| 1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
| 1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
| 1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
| 1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
| Find all providers in zip 26003 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003164211 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 10 Elm Grove Crossing Mall, Wheeling, WV 26003-5300 | 2012-08-17 |
| 1114215712 | Mark Caldwell Geary II | Emergency Medicine | 69 Eagle Ave, Wheeling, WV 26003-2648 | 2011-07-16 |
| 1396848693 | Janice C Sobray | Emergency Medicine | Wheeling Hospital, 1 Medical Park, Wheeling, WV 26003 | 2006-09-06 |
| 1881114999 | Jarryd Austin Reed | Emergency Medicine | 2000 Eoff St, Wheeling, WV 26003-3823 | 2017-06-21 |
| 1053831032 | Stephanie Anne Thomas | Emergency Medicine | 2000 Eoff St, Wheeling, WV 26003-3823 | 2017-06-21 |
| 1508313719 | Tri-state Emergency Physicians LLP | Emergency Medicine | 1 Medical Park, Wheeling, WV 26003-6379 | 2016-09-06 |
| 1174976195 | Zachary Hamilton | Emergency Medicine | 2000 Eoff St, Wheeling, WV 26003-3823 | 2016-07-14 |
| 1093166753 | Sasha Rihter | Emergency Medicine | 2000 Eoff St, Wheeling, WV 26003-3823 | 2016-06-23 |
| 1437500188 | Jeremy Adams | Emergency Medicine | 2000 Eoff St, Wheeling, WV 26003-3823 | 2016-06-23 |
| 1710349345 | Joshua Login Mena | Emergency Medicine | 1 Medical Park, Wheeling, WV 26003-6300 | 2016-03-23 |
| Find all providers in WHEELING | ||||
Please comment or provide details below to improve the information on GRACE IYABO KOMOLAFE.
| 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.