MR. ODION JONATHAN OLOGBAUMA (NPI# 1356643357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356643357 |
| Entity Type | Individual |
| Full Name | MR. ODION JONATHAN OLOGBAUMA |
| Credential | NURSE PRACTITIONER |
| Practice Address |
501 W 14th St Fl 2 Wilmington DE 19801 |
| Mailing Address |
501 W 14th St Fl 2 Wilmington DE 19801-1013 |
| Practice Telephone | 3023204411 |
| Mailing Telephone | 3023204411 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
LB-0000238 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
501 W 14TH ST FL 2 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126068 | Meghan Cullen | Specialist/Technologist | 401 Garasches Lane, Wilmington, DE 19801 | 2018-08-30 |
| 1497257851 | Jevs Human Services | Psychologist | 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 | 2018-03-01 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1649706086 | Fhr -act Program | Health Maintenance Organization | 103a Rogers Rd., Wilmington, DE 19801 | 2017-05-04 |
| 1275080707 | Suzanne Isenberg | Social Worker | 103 Rogers Roaad, Wilmington, DE 19801 | 2016-09-01 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1962830430 | Antoinette L. Rodriguez | Counselor | 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 | 2013-10-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1366719916 | Richard Mclaughlin | Counselor | 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 | 2011-11-28 |
| Find all providers in zip 19801 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093207854 | Nicole L Scott Np C Adult Primary Care LLC | Nurse Practitioner | 410 Foulk Rd Ste 100, Wilmington, DE 19803-3835 | 2018-06-06 |
| 1497135636 | Hope O'keefe | Nurse Practitioner | 36400 Essex Rd, Wilmington, IL 60481-9500 | 2015-06-03 |
| 1285032979 | Nicholas Stanley Carte | Nurse Practitioner | 3333 Wrightsville Ave Unit G, Wilmington, NC 28403-4115 | 2014-12-11 |
| 1578793725 | Kenneth Christopher Farmer | Nurse Practitioner | 6319a Carolina Beach Rd, Wilmington, NC 28412-2907 | 2009-07-22 |
| 1245487560 | Carol Heinrich | Nurse Practitioner | 1605 Doctors Circle, Tileston Outreach Health Clinic, Wilmington, NC 28403 | 2008-08-19 |
| 1306038955 | Stephanie M Moon | Nurse Practitioner | 1072 Justison St, Wilmington, DE 19801-5162 | 2007-08-16 |
| 1073654844 | Mary Elizabeth Canel | Nurse Practitioner | Uncw Student Health Westside Hall, 601 S. College Rd, Wilmington, NC 28403-3297 | 2007-02-12 |
| 1942317425 | Adrienne Louise Woods | Nurse Practitioner | Wilmington V.a. Medical Center, 1601 Kirkwood Highway, Wilmington, DE 19805 | 2006-08-23 |
| 1457350019 | Mary A High | Nurse Practitioner | 2601 Annand Dr, Suite 4, Wilmington, DE 19808-3719 | 2005-07-18 |
| 1265439327 | Melanie Naffke | Nurse Practitioner | 311-4e Judges Road, Wilmington, NC 28405-3655 | 2005-07-05 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19801 |
Please comment or provide details below to improve the information on MR. ODION JONATHAN OLOGBAUMA.
| 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.