DR. OMOLARA ABITOYE (NPI# 1386841625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386841625 |
| Entity Type | Individual |
| Full Name | DR. OMOLARA ABITOYE |
| Credential | M.D. |
| Practice Address |
688 W Pioneer Pkwy Ste 120 Grand Prairie TX 75051 |
| Mailing Address |
688 W Pioneer Pkwy Ste 120 Grand Prairie TX 75051-4861 |
| Practice Telephone | 9726427337 |
| Practice Fax Number | 9726427339 |
| Mailing Telephone | 9726427337 |
| Mailing Fax Number | 9726427339 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | P2818 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD438078 | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 25MA08566300 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051 | 9726427337 | 9726427339 |
| Street Address |
688 W PIONEER PKWY STE 120 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356901581 | Adebukola Obasanya | Nurse Practitioner | 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051-4861 | 2019-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750940342 | Laura Burdette | Counselor | 2801 Oster Dr., Building A Suite 300, Grand Prairie, TX 75051 | 2019-06-07 |
| 1871087460 | Cam Chau Huynh | Pharmacist | 2615 W Pioneer Pwky Suite 139, Grand Prairie, TX 75051 | 2018-06-18 |
| 1710416060 | Squeece Services LLC | Private Vehicle | 2304 Oak Ln Dr Suite 201, Grand Prairie, TX 75051 | 2017-06-09 |
| 1477000883 | Marshall Anderson | Specialist/Technologist | 101 Gopher Boulevard, Grand Prairie, TX 75051 | 2016-09-01 |
| 1932570934 | By His Grace Housecalls Inc | Nurse Practitioner | 2305 Oak Ln Ste 106, Grand Prairie, TX 75051 | 2015-10-15 |
| 1225453921 | Perfection Housecalls of Texas LLC | Nurse Practitioner | 2755 Furlong Dr, Grand Prairie, TX 75051 | 2014-03-04 |
| 1669619300 | Parker Health Care Services Inc | Nursing Care | 2305 Oak Lane Ste 211, Grand Prairie, TX 75051 | 2009-01-16 |
| 1861639718 | Jacqueline Lanae Fort | Contractor | 842 Pangburn St, Grand Prairie, TX 75051 | 2009-01-14 |
| 1750584934 | Mai Tram Phan | Dentist | 2100 S Great Sw Pky, Suite #102, Grand Prairie, TX 75051 | 2007-06-06 |
| 1437270220 | 303 Medical Clinic, P.a. | Family Medicine | 710 East Pioneer Parkway, Grand Prarie, TX 75051 | 2007-04-02 |
| Find all providers in zip 75051 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1548605835 | Rainbow Children's Clinic 3, P.a. | Pediatrics | 929 W Pioneer Pkwy Ste A, Grand Prairie, TX 75051-4726 | 2013-05-01 |
| 1295895266 | Toni Capino | Pediatrics | 929 West Pioneer Parkway, Suite A, Grand Prairie, TX 75051-4726 | 2006-12-11 |
| 1598709149 | Ruth Bernardez Tan | Pediatrics | 2985 S State Highway 360, Suite 140, Grand Prairie, TX 75052-7615 | 2006-06-15 |
| 1073508990 | Epifania Miranda Caturay | Pediatrics | 2715 Osler Dr, Grand Prairie, TX 75051-1051 | 2005-09-16 |
| 1669916094 | Shanthi Rajasekaran | Pediatrics | 688 W Pioneer Pkwy, 120, Grand Prairie, TX 75051-4802 | 2016-12-03 |
| 1114323862 | Pediatric Center of Grand Prairie | Pediatrics | 4927 Lake Ridge Pkwy, Suite 120, Grand Prairie, TX 75052-3087 | 2014-11-07 |
| 1659626455 | Karla Araujo | Pediatrics | 410 E Pioneer Pkwy, Suite 300, Grand Prairie, TX 75051-4983 | 2012-07-17 |
| 1528334216 | Dallas County Hospital District | Pediatrics | 801 Conover Dr, Grand Prairie, TX 75051-1519 | 2012-03-27 |
| 1972823052 | Triveni Anantharaman Kallur | Pediatrics | 801 Conover Dr, Grand Prairie, TX 75051-1519 | 2010-06-10 |
| 1962734590 | Lina Tan Dy | Pediatrics | 2715 Osler Dr, Grand Prairie, TX 75051-1051 | 2010-02-07 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75051 |
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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.