ADEDAYO O MOKUOLU (NPI# 1467485409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467485409 |
| Entity Type | Individual |
| Full Name | ADEDAYO O MOKUOLU |
| Credential | MD |
| Practice Address |
2510 Wigwam Pkwy Ste 102 Henderson NV 89074-7115 |
| Mailing Address |
2625 Wigwam Pkwy Ste 112 Henderson NV 89074-7326 |
| Practice Telephone | 7022555900 |
| Practice Fax Number | 7022555980 |
| Mailing Telephone | 7022555900 |
| Mailing Fax Number | 7022555980 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
12563 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
2510 WIGWAM PKWY STE 102 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1275785420 | M Mazen Jamal Md PC | Internal Medicine | 10624 S Eastern Ave Ste A-158, Henderson, NV 89052-2982 | 2008-10-21 |
| 1518133206 | D S Banker M D P C | Internal Medicine | 2793 Mingary Ave, Henderson, NV 89044-0238 | 2008-05-02 |
| 1225204910 | Snehal Rohit Desai M D A Professional Corporation | Internal Medicine | 2558 Wild Ambrosia Ave, Henderson, NV 89074-2890 | 2008-05-02 |
| 1982772349 | Rajat Sood Md Ltd | Internal Medicine | 2839 Saint Rose Pkwy, 130, Henderson, NV 89052-4848 | 2006-12-01 |
| 1639242613 | Audubon Gi Psc | Internal Medicine | 1413 North Elm St, Suite 105, Henderson, KY 42420-4266 | 2006-11-16 |
| 1356442271 | Albert Mason | Internal Medicine | 2625 Wigwam Pkwy, Suite #112, Henderson, NV 89074-7325 | 2006-09-25 |
| 1346288958 | Bipin M Saud | Internal Medicine | 825 N Gibson Rd Ste 201, Henderson, NV 89011-1708 | 2006-06-04 |
| 1609833540 | Desha Aaron Frankel | Internal Medicine | 1040 Wigwam Pkwy, #110, Henderson, NV 89074-8171 | 2006-04-26 |
| 1578563102 | Arumugam Sivakumar | Internal Medicine | 2637 W Horizon Ridge Pkwy, Ste 140, Henderson, NV 89052-4834 | 2005-07-26 |
| 1982876744 | South Hills Gastroenterology LLP | Internal Medicine | 2625 Wigwam Pkwy, Suite 112, Henderson, NV 89074-7325 | 2008-04-01 |
| Find all providers in HENDERSON | ||||
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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.