DR. MOSES OYEGOKE ADEDEJI (NPI# 1477583482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477583482 |
| Entity Type | Individual |
| Full Name | DR. MOSES OYEGOKE ADEDEJI |
| Credential | MD |
| Practice Address |
400 Veterans Avenue Diagnostic Medicine Service (113) Biloxi MS 39531 |
| Mailing Address |
310 Abbey Ct Apt A2 Biloxi MS 39531-4009 |
| Practice Telephone | 2285235542 |
| Practice Fax Number | 2285234902 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | M0335 | TX | Other Service Providers |
| N | 174400000X | Specialist | 35.081298 | OH | Other Service Providers |
| Y | 174400000X | Specialist | 17620 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BOARD OF MEDICAL LICENSUR | 17620 | 01 |
| TX | BOARD OF MEDICAL EXAMINER | M0335 | 01 |
| OH | STATE MEDICAL BOARD | 35.081298 | 01 |
| Street Address |
400 VETERANS AVENUE DIAGNOSTIC MEDICINE SERVICE (113) |
| City | BILOXI |
| State | MS |
| Zip Code | 39531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615962 | Lara Herrin-schaubhut | Recreation Therapist | 400 Veterans Avenue, Bldg. 15 2b 116, Biloxi, MS 39531 | 2019-05-21 |
| 1700183688 | Randall Edward Blake | Pharmacist | 400 Veterans Avenue, Va Gulf Coast Veterans Health Care System, Biloxi, MS 39531 | 2011-02-11 |
| 1316142060 | Benjamin T. Parker | Psychologist | 400 Veterans Avenue, Mailing Symbol: 00q, Biloxi, MS 39531 | 2007-06-20 |
| 1407966567 | Vasanthi Kumari Nalluri | Psychiatry & Neurology | 400 Veterans Avenue, Biloxi, MS 39531 | 2006-08-30 |
| 1750494407 | Ruth L Herrin | Pharmacist | 400 Veterans Avenue, Gulf Coast Veterans Health Care System, Biloxi, MS 39531 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548628621 | Katie Ranson | Specialist | 15506 Lemoyne Blvd, Biloxi, MS 39532-5134 | 2016-02-04 |
| 1629475702 | D'ette Lorio | Specialist | 1141 Bayview Ave, Suite102, Biloxi, MS 39530-1631 | 2014-12-04 |
| 1528281748 | Douglas R Vanheel | Specialist | 2541 Pass Rd, Suite F, Biloxi, MS 39531-2106 | 2007-04-10 |
| 1740363852 | Karen R Boswell | Specialist | 2120 Enterprise Dr, Suite A, Biloxi, MS 39531-4039 | 2006-10-23 |
| 1740391390 | Joel B Kavanagh | Specialist | 1650 Carrol Dr, Biloxi, MS 39531-4301 | 2006-08-31 |
| 1174556989 | Henry Aranas Clarite I | Specialist | Biloxi Regional Medical Center, 150 Reynoir St, Biloxi, MS 39530-4199 | 2006-07-08 |
| 1013947019 | Terry C. Smith, M.d., Pa | Specialist | 180 Debuys Rd # B, Suite 102, Biloxi, MS 39531-4402 | 2006-07-04 |
| 1992749451 | Frank Guice Martin | Specialist | 1720a Medical Park Dr Ste 200, Biloxi, MS 39532-2122 | 2006-06-15 |
| 1174516108 | Professional Pathology Associates | Specialist | 150 Reynoir St, Biloxi, MS 39530-4130 | 2005-08-24 |
| 1407364482 | Gci Radiology Pllc | Specialist | 150 Reynoir St, Biloxi, MS 39530 | 2018-01-12 |
| Find all providers in BILOXI | ||||
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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.