OLANREWAJU AWOFESO (NPI# 1336622141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336622141 |
Entity Type | Individual |
Full Name | OLANREWAJU AWOFESO |
Practice Address |
2818 Shady Ln Tyler TX 75702-7745 |
Practice Telephone | 2102649748 |
Mailing Telephone | 2102649748 |
Enumeration Date | 2018-09-09 |
Last Update Date | 2018-09-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 376G00000X | Nursing Home Administrator | 9367 | TX | Nursing Service Related Providers |
Street Address |
2818 SHADY LN |
City | TYLER |
State | TX |
Zip Code | 75702-7745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
Find all providers in zip 75702 |
Taxonomy Code | 376G00000X |
Grouping | Nursing Service Related Providers |
Classification | Nursing Home Administrator |
An individual, often licensed by the state, who is responsible for the management of a nursing home. |
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902419112 | Quelyndria Washington | Nursing Home Administrator | 11740 Northpointe Blvd Apt 706, Tomball, TX 77377-6081 | 2020-08-26 |
1528699592 | Katherine Ann Champion | Nursing Home Administrator | 4918 Mable St, Corpus Christi, TX 78411-4029 | 2020-01-29 |
1811552094 | Gilda Vasquez | Nursing Home Administrator | 3132 Moonlit Lake Cir, League City, TX 77573-5972 | 2019-05-03 |
1982268918 | Kelly Marie Ortiz | Nursing Home Administrator | 710 Shadowbrook Dr, Spring, TX 77380-2233 | 2019-04-25 |
1235615550 | Sinai Mountain Homecare | Nursing Home Administrator | 464 Cedarwood Ave, Horizon City, TX 79928-6582 | 2018-07-19 |
1851821763 | Brenda Joyce Cunningham | Nursing Home Administrator | 1798 Strickland Ln, Eagle Lake, TX 77434-7082 | 2017-06-13 |
1962936187 | Heidi Mckay | Nursing Home Administrator | 3424 Tempest Ln, Oak Point, TX 75068-3319 | 2017-04-13 |
1083148449 | Mashanda Deshazer | Nursing Home Administrator | 10807 Misty River Dr, Houston, TX 77086-1919 | 2017-04-12 |
1205216470 | Deshun Stanley | Nursing Home Administrator | 13108 Grantham Ridge Ct, Rosharon, TX 77583 | 2015-06-03 |
1508270513 | Katia Taylor | Nursing Home Administrator | 3911 Southern Sky, San Antonio, TX 78222-3457 | 2014-06-17 |
Find all providers with the same taxonomy |
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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.