DR. TAI H BOLAJI (NPI# 1174687487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174687487 |
| Entity Type | Individual |
| Full Name | DR. TAI H BOLAJI |
| Credential | PHARM.D, CDE |
| Practice Address |
301 E. Andrews Avenue Us Army Aeromedical Center Fort Rucker AL 36362 |
| Practice Telephone | 3342557177 |
| Practice Fax Number | 3342557176 |
| Mailing Telephone | 3342557177 |
| Mailing Fax Number | 3342557176 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 15159 | NV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MILITARY | AVIATION | 01 |
| Street Address |
301 E. ANDREWS AVENUE US ARMY AEROMEDICAL CENTER |
| City | FORT RUCKER |
| State | AL |
| Zip Code | 36362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982854790 | John Christopher Berry | Pediatrics | 301 E. Andrews Avenue, Fort Rucker, AL 36362 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670080 | Altadena Eye Care | Clinic/Center | 2409 Acton Rd Ste 161, Vestavia, AL 35243-2939 | 2020-08-17 |
| 1447877584 | Northern Lights Chiropractic L.L.C. | Clinic/Center | 2709 19th Pl S, Homewood, AL 35209-1919 | 2020-07-05 |
| 1033736749 | Psychotherapy/ Clinical Services LLC | Clinic/Center | 2622 Jordan Ln Nw, Huntsville, AL 35816-1014 | 2020-06-29 |
| 1598384265 | Ivy Leaf Health & Wellness LLC | Clinic/Center | 5585 Park Side Cir, Hoover, AL 35244-5124 | 2020-04-13 |
| 1083240618 | Patricia Kyl Padgett | Clinic/Center | 3206 20th Ave, Valley, AL 36854-2951 | 2020-03-16 |
| 1659905610 | Valley Vascular Access Center, LLC | Clinic/Center | 4700 Whitesburg Dr Sw Ste 300, Huntsville, AL 35802-1685 | 2020-02-28 |
| 1508407990 | Harrison Medical Consulting LLC | Clinic/Center | 146 Augusta Trl, Cullman, AL 35057-6990 | 2019-10-07 |
| 1174188650 | Clears Clinic Corporation | Clinic/Center | 28720 Us Highway 98 Ste 1, Daphne, AL 36526-7268 | 2019-05-09 |
| 1255892865 | Diabetes and Wellness Clinic of The Shoals | Clinic/Center | 1110 E 6th St Suite E, Muscle Shoals, AL 35661 | 2019-03-27 |
| 1558826818 | Healthcare and Beyond, LLC | Clinic/Center | 13951 Highway 231 431 N, Hazel Green, AL 35750-8651 | 2019-01-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT RUCKER |
| Zip Code | 36362 |
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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.