MEDOGUN PA (NPI# 1376683391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376683391 |
| Entity Type | Organization |
| Organization Name | MEDOGUN PA |
| Other Organization Name | MILESTONES PEDIATRICS |
| Practice Address |
120 Wildewood Park Dr Suite B Columbia SC 29223-4300 |
| Practice Telephone | 8037887882 |
| Practice Fax Number | 8037887818 |
| Mailing Telephone | 8037887882 |
| Mailing Fax Number | 8037887818 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MOJIBOLA OLAYINKA SOLAJA (MEDICAL DOCTOR) |
| Authorized Official Telephone | 8037887882 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
21514 | SC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| milestones pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730229683 | Medogun Pa | Psychiatry & Neurology | 120 Wildewood Park Dr, Suite A, Columbia, SC 29223-4300 | 2007-02-08 |
| Street Address |
120 WILDEWOOD PARK DR SUITE B |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164487955 | Mojibola Olayinka Solaja | Pediatrics | 120 Wildewood Park Dr, Suite B, Columbia, SC 29223-4300 | 2006-04-18 |
| 1730346057 | Cooper-lewter Consulting LLC | Social Worker | 120 Wildewood Park Dr, Suite A, Columbia, SC 29223-4313 | 2008-05-22 |
| 1730229683 | Medogun Pa | Psychiatry & Neurology | 120 Wildewood Park Dr, Suite A, Columbia, SC 29223-4300 | 2007-02-08 |
| 1568416238 | Albertina I. Washington-green | Counselor | 120 Wildewood Park Dr, Suite A, Columbia, SC 29223-4313 | 2006-05-19 |
| 1073578506 | Ayodele A Ogunfowora | Psychiatry & Neurology | 120 Wildewood Park Dr, Suite A, Columbia, SC 29223-4300 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346401189 | Rose - Marie St Jean Sylla | Pediatrics | 5209 Eliots Oak Rd, Columbia, MD 21044-1826 | 2008-06-24 |
| 1174695670 | Kenneth M. Klebanow, M.d. & Associates, P.a. | Pediatrics | 8821 C0lumbia 100 Pkwy, Columbia, MD 21045 | 2006-11-14 |
| 1063528305 | Aruna V Khurana | Pediatrics | 10804 Hickory Ridge Rd, Columbia, MD 21044-3622 | 2006-08-21 |
| 1164487955 | Mojibola Olayinka Solaja | Pediatrics | 120 Wildewood Park Dr, Suite B, Columbia, SC 29223-4300 | 2006-04-18 |
| 1184016941 | South Carolina Pediatrics Alliance, LLC | Pediatrics | 601 Clemson Rd, Columbia, SC 29229-4341 | 2015-03-03 |
| 1396991741 | John Khoury | Pediatrics | 2113 Adams Grv, Suite 110, Columbia, SC 29203-6951 | 2008-08-15 |
| 1033322318 | Lisa D. Monsees | Pediatrics | 401 N Keene St, Columbia, MO 65201-6625 | 2007-05-07 |
| 1609940790 | Aneesh Kumar Tosh | Pediatrics | 404 N Keene St Ste 101, Columbia, MO 65201-6626 | 2006-11-20 |
| 1326143611 | Jacqueline A Brown | Pediatrics | 8821 Columbia 100 Pkwy, Columbia, MD 21045-2168 | 2006-09-13 |
| 1619989407 | Kenneth Michael Klebanow | Pediatrics | 8821 Columbia 100 Pkwy, Columbia, MD 21045-2168 | 2006-08-12 |
| Find all providers in COLUMBIA | ||||
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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.