OLAWALE O OLATUNJI (NPI# 1154390078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154390078 |
| Entity Type | Individual |
| Full Name | OLAWALE O OLATUNJI |
| Credential | MD |
| Practice Address |
306 Stanaford Rd Beckley WV 25801-3142 |
| Mailing Address |
803 Seminole Cir Mount Hope WV 25880-8811 |
| Practice Telephone | 6812072055 |
| Practice Fax Number | 6812071811 |
| Mailing Telephone | 6062241740 |
| Mailing Fax Number | 6812071811 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
36772 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | WV MEDICAL LICENSE | 26160 | 01 |
| KY | 64050230 | 05 | |
| BCBS- CUMBERLAND CLINIC | 000000584950 | 01 |
| Street Address |
306 STANAFORD RD |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134128358 | Fausto Imbing | Pathology | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2005-07-19 |
| 1285243048 | Holly Nicole Tonelli | Nurse Practitioner | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2020-07-28 |
| 1639643422 | Kerry A Esprit | Nurse Anesthetist, Certified Registered | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2019-01-15 |
| 1265933576 | April Dawn Reed | Physical Therapy Assistant | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2018-02-22 |
| 1730600990 | Daisy Corro | Occupational Therapist | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2017-06-28 |
| 1679012298 | Parthenia J Holly | Nurse Anesthetist, Certified Registered | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2017-02-15 |
| 1184087603 | Rio Calvez Bero | Occupational Therapist | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2016-04-01 |
| 1184087793 | Kenneth Lagua Adivino | Physical Therapist | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2016-03-31 |
| 1316306723 | John M Lucas | Nurse Anesthetist, Certified Registered | 306 Stanaford Rd, Anesthesia Department, Beckley, WV 25801 | 2016-02-12 |
| 1316335300 | Amanda Dillen | Nurse Anesthetist, Certified Registered | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2014-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1811371321 | Heart & Vascular Medical Center Pllc | Internal Medicine | 427 Carriage Dr, Beckley, WV 25801-2805 | 2015-07-14 |
| 1407294838 | Appalachian Regional Healthcare, Inc. | Internal Medicine | 405 Carriage Drive, Beckley, WV 25801 | 2013-06-07 |
| 1023226453 | Anthony A Mcfarlane M D P C Inc | Internal Medicine | 1830 Harper Rd, Beckley, WV 25801 | 2007-05-18 |
| 1912095274 | Joshy Abraham | Internal Medicine | 179 Woodland Drive, Ste 202, Beckley, WV 25801 | 2006-10-11 |
| 1396852984 | Raleigh Heart Clinic Inc | Internal Medicine | 304 Carriage Dr, Raleigh Heart Clinic Inc, Beckley, WV 25801 | 2006-08-23 |
| 1861426975 | Jebran George Karam | Internal Medicine | 1836 Harper Rd, Beckley, WV 25801 | 2006-07-11 |
| 1336661396 | Mountaineer Cardiovascular Care Inc | Internal Medicine | 1830 Harper Rd, Beckley, WV 25801-3366 | 2017-07-12 |
| 1114475746 | Raleigh General Hospital LLC | Internal Medicine | 1717 Harper Rd, Suite G, Beckley, WV 25801-3373 | 2016-09-12 |
| 1851769962 | Raleigh General Hospital LLC | Internal Medicine | 1710 Harper Rd, Beckley, WV 25801-3357 | 2015-09-04 |
| 1053541797 | Luis Alejandro Asencio Magdaleno | Internal Medicine | 1717 Harper Rd, Second Floor, Suite G, Beckley, WV 25801-3373 | 2009-07-15 |
| Find all providers in BECKLEY | ||||
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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.