DR. OLUSEUN O. MEDEYINLO (NPI# 1205040136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205040136 |
| Entity Type | Individual |
| Full Name | DR. OLUSEUN O. MEDEYINLO |
| Credential | M.D |
| Practice Address |
4900 Houston Rd Florence KY 41042-4824 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8592127700 |
| Practice Fax Number | 8592127710 |
| Mailing Telephone | 8592127700 |
| Mailing Fax Number | 8592127710 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
41560 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
41560 | KY | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
238066 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100062500 | 05 | |
| KY | RAILROAD MEDICARE | P00633297 | 01 |
| KY | RAILROAD MEDICARE | P00840872 | 01 |
| OH | 2966849 | 05 |
| Street Address |
4900 HOUSTON RD |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-4824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619969904 | Dwayne V Smith | Surgery | 4900 Houston Rd, Florence, KY 41042-4824 | 2005-08-22 |
| 1104443332 | Teanna Nichole Nixon | Pharmacist | 4900 Houston Rd, Florence, KY 41042-4824 | 2020-07-04 |
| 1245855311 | Molly Robbins | Physical Therapist | 4900 Houston Rd, Florence, KY 41042-4824 | 2020-06-14 |
| 1912533191 | Emily Lodwick | Pharmacist | 4900 Houston Rd, Florence, KY 41042-4824 | 2020-03-19 |
| 1164060455 | Lynne Ann Webb | Case Manager/Care Coordinator | 4900 Houston Rd, Florence, KY 41042-4824 | 2019-12-17 |
| 1063930790 | Brittany M Diehl | Dietitian, Registered | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-09-01 |
| 1275066953 | Rachel Wagner | Dietitian, Registered | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-04-10 |
| 1568901478 | Keri Sands | Physical Therapist | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-02-13 |
| 1710425731 | Cherie Tewes Page | Physical Therapist | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-02-09 |
| 1902344203 | David Montgomery I | Physical Therapist | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1699010983 | Gary B Anderson | Internal Medicine | 1892 Brigadoone Ln, Florence, SC 29505-3235 | 2012-11-28 |
| 1801042346 | Nada Tazi | Internal Medicine | 805 Pamplico Hwy Ste 300 Medical Mall B, Florence, SC 29506-2618 | 2008-08-15 |
| 1609039734 | Carmen Amelia Taype Perez De Roberts | Internal Medicine | 401 E Cheves St Ste 202, Florence, SC 29506-2615 | 2008-07-09 |
| 1285687103 | Dwight M Spearman II | Internal Medicine | 211 Ana Dr, Florence, AL 35630-1768 | 2006-05-19 |
| 1528324050 | Christopher Charles Keen | Internal Medicine | 555 E Cheves St, Florence, SC 29506 | 2012-04-10 |
| 1558635730 | Rami Zebian | Internal Medicine | 805 Pamplico Hwy, Suite B-300, Florence, SC 29505-6047 | 2012-03-06 |
| 1851554257 | Ramzy Al-hourany | Internal Medicine | 805 Pamplico Hwy, Suite B-300, Florence, SC 29505-6047 | 2008-07-07 |
| 1073787511 | St Luke Hospitals, Inc | Internal Medicine | 7388 Turfway Rd, Ste. 206, Florence, KY 41042-1381 | 2008-04-16 |
| 1174713879 | Fadi Elias Seif II | Internal Medicine | 805 Pamplico Hwy, Pulmonary Dept, Florence, SC 29505-6047 | 2007-07-28 |
| 1861503476 | St. Luke Hospital, Inc. | Internal Medicine | 7388 Turfway Rd, Su. 206, Florence, KY 41042-1381 | 2006-08-31 |
| Find all providers in FLORENCE | ||||
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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.