DR. HENRY OLUGBENGA ADEKOLA (NPI# 1104196641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104196641 |
Entity Type | Individual |
Full Name | DR. HENRY OLUGBENGA ADEKOLA |
Other Name | DR. HENRY OLUGBENGA ADEKOLA |
Credential | MD |
Practice Address |
415 N 9th St # 6w30 Springfield IL 62702-5303 |
Mailing Address |
Po Box 19659 Springfield IL 62794-9659 |
Practice Telephone | 2175458000 |
Practice Fax Number | 2177576388 |
Mailing Telephone | 2175458000 |
Mailing Fax Number | 2177576388 |
Enumeration Date | 2011-12-30 |
Last Update Date | 2018-09-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 207V00000X | NY | Allopathic & Osteopathic Physicians |
Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
036-143019 | IL | Allopathic & Osteopathic Physicians |
Street Address |
415 N 9TH ST # 6W30 |
City | SPRINGFIELD |
State | IL |
Zip Code | 62702-5303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
Find all providers in zip 62702 |
Taxonomy Code | 207VM0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Maternal & Fetal Medicine |
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
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 |
---|---|---|---|---|
1154500064 | Jeffrey Stuart Greenspoon | Obstetrics & Gynecology | 1000 E. Primrose, #360, Springfield, MO 65807-5293 | 2007-10-26 |
1639167562 | Shaun G Lencki | Obstetrics & Gynecology | 1000 E Primrose St Ste 360, Springfield, MO 65807-5293 | 2005-10-13 |
1720323496 | Corina N. Schoen | Obstetrics & Gynecology | 759 Chestnut St, Springfield, MA 01107-1619 | 2012-12-06 |
1003016965 | Robert Marc Abrams | Obstetrics & Gynecology | 415 N 9th St, 6w100, Springfield, IL 62702-5303 | 2007-07-19 |
1215058490 | Gwyneth Smith Thompson | Obstetrics & Gynecology | 415 N 9th St, Suite 6w100, Springfield, IL 62702-5303 | 2007-04-03 |
1942342654 | Robert F. Fraser II | Obstetrics & Gynecology | 1900 S National Ave, Suite 2900, Springfield, MO 65804-2265 | 2007-02-12 |
1548338841 | Charlotte Ann Clausen | Obstetrics & Gynecology | 3355 Riverbend Dr, Ste 210, Springfield, OR 97477-8800 | 2006-12-04 |
1033216007 | Fadi A Bsat | Obstetrics & Gynecology | 759 Chestnut St, Springfield, MA 01107-1619 | 2006-09-20 |
1801906714 | Patricia Mary Dix | Obstetrics & Gynecology | 1000 E Primrose St, #360, Springfield, MO 65807-5154 | 2006-08-30 |
1477667756 | Andrew J Healy | Obstetrics & Gynecology | 759 Chestnut St, Springfield, MA 01107-1619 | 2006-08-17 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62702 |
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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.