EMMANUEL O. SOYOOLA MD PC (NPI# 1104005297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104005297 |
| Entity Type | Organization |
| Organization Name | EMMANUEL O. SOYOOLA MD PC |
| Other Organization Name | OLAN COMPREHENSIVE WOMENS HEALTHCARE CENTER |
| Practice Address |
70 Hospital Dr Kruger Medical Plaza, Suite 200 Logan WV 25601-3452 |
| Mailing Address |
Po Box 536 Logan WV 25601-0536 |
| Practice Telephone | 3047526780 |
| Practice Fax Number | 3047526782 |
| Mailing Telephone | 3047526780 |
| Mailing Fax Number | 3047526782 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2008-10-27 |
| Authorized Official Name | DR. EMMANUEL OLUSOLA SOYOOLA (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 3047526780 |
| Authorized Official Credential | M.D.,PHD.,F.A.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 21399 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1811315000 | 05 |
| Other Name | Type Code |
|---|---|
| Olan Comprehensive Womens Healthcare Center | Doing Business As Name - Organization |
| Street Address |
70 HOSPITAL DR KRUGER MEDICAL PLAZA, SUITE 200 |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-3452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013242916 | Francis Neal Mortenson | Obstetrics & Gynecology | 1141 Fox Farm Rd, Logan, UT 84321-4807 | 2009-10-09 |
| 1922217850 | Cache Valley Womens Center, Pllc | Obstetrics & Gynecology | 1325 North 600 E, #102, Logan, UT 84341 | 2007-05-21 |
| 1982748737 | Ihc Health Services Inc | Obstetrics & Gynecology | 550 E 1400 N Ste X, Logan, UT 84341-2782 | 2007-02-16 |
| 1881650026 | Pimpa Suttiratana | Obstetrics & Gynecology | Hc68 Box 1000 Suite 3, Community Health Foundation of Logan, Logan, WV 25601-9620 | 2006-04-25 |
| 1861476921 | Tandy Garth Olsen | Obstetrics & Gynecology | 500 E 1400 North, Logan, UT 84341 | 2005-12-02 |
| 1558351742 | Barry A Noorda | Obstetrics & Gynecology | 1325 N 600 E, 102, Logan, UT 84341-2684 | 2005-10-27 |
| 1285624478 | David A Kirkman | Obstetrics & Gynecology | 1325 No 600e, #102, Logan, UT 84341 | 2005-10-27 |
| 1407144702 | Chase B Petersen | Obstetrics & Gynecology | 1400 N 500 E, Logan, UT 84341 | 2011-07-20 |
| 1932355468 | Erica Lynn Smith | Obstetrics & Gynecology | 1400 N 500 E, Logan, UT 84341-2455 | 2008-08-15 |
| 1639207939 | Ihc Health Services Inc | Obstetrics & Gynecology | 1400 N 500 E, Logan, UT 84341-2455 | 2007-03-01 |
| Find all providers in LOGAN | ||||
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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.