ADENIYI O ODUGBESAN (NPI# 1528175601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528175601 |
| Entity Type | Individual |
| Full Name | ADENIYI O ODUGBESAN |
| Other Name | OLA ODUGBESAN |
| Credential | M.D. |
| Practice Address |
771 Old Norcross Rd Suite 200 Lawrenceville GA 30046-4386 |
| Practice Telephone | 7703391387 |
| Practice Fax Number | 7709627868 |
| Mailing Telephone | 7703391387 |
| Mailing Fax Number | 7709627868 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
33660 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
771 OLD NORCROSS RD SUITE 200 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-4386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619282 | Jose Anibal Torres | Internal Medicine | 771 Old Norcross Rd, Suite 310, Lawrenceville, GA 30046-4386 | 2005-06-15 |
| 1639657620 | Julienne K Thomas | Nurse Practitioner | 771 Old Norcross Rd, Lawrenceville, GA 30046-4386 | 2018-08-01 |
| 1649659780 | Nicole Lynn Mccarthy | Physician Assistant | 771 Old Norcross Rd, Suites 155 and 390, Lawrenceville, GA 30046-4386 | 2015-05-21 |
| 1497163471 | Jessica Mcdonald | Physical Therapist | 771 Old Norcross Rd, Suite 390, Lawrenceville, GA 30046-4386 | 2014-07-23 |
| 1710306188 | Nicole Elizabeth Peters | Physician Assistant | 771 Old Norcross Rd, Suites 155 and 390, Lawrenceville, GA 30046-4386 | 2014-04-14 |
| 1609214147 | Raquel I. Gonzalez Roepke | Nurse Practitioner | 771 Old Norcross Rd, Suite 120, Lawrenceville, GA 30046-4386 | 2013-06-06 |
| 1902243603 | Village Podiatry Group, LLC | Podiatrist | 771 Old Norcross Rd, Ste. 355, Lawrenceville, GA 30046-4386 | 2013-06-04 |
| 1578827069 | Aaoc Anesthesia LLC | Nurse Anesthetist, Certified Registered | 771 Old Norcross Rd, Suite 135, Lawrenceville, GA 30046-4386 | 2012-06-28 |
| 1417231457 | Tabassum Safri | Internal Medicine | 771 Old Norcross Rd, Suite 120, Lawrenceville, GA 30046-4386 | 2011-10-10 |
| 1568778306 | Rodriguez Md, LLC | Family Medicine | 771 Old Norcross Rd, Terrace Park Medical Center; Suite 120, Lawrenceville, GA 30046-4386 | 2010-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1891865937 | David B Arkin | Internal Medicine | 771 Old Norcross Rd Ste 200, Lawrenceville, GA 30046-4980 | 2006-11-08 |
| 1083945687 | Daphne Duvalsaint Dadzie | Internal Medicine | 168 Franklin Corner Rd, Building 1, Suite 2a, Lawrenceville, NJ 08648 | 2010-01-21 |
| 1891883104 | Peter H. Lu | Internal Medicine | 771 Old Norcross Rd, Suite 200, Lawrenceville, GA 30046-4386 | 2006-10-11 |
| 1518055854 | Ketan G Goswami | Internal Medicine | 771 Old Norcross Rd, Suite 200, Lawrenceville, GA 30046-4386 | 2006-10-11 |
| 1568550903 | Aparna Reddy Mahakala | Internal Medicine | 771 Old Norcross Rd, Suite 200, Lawrenceville, GA 30046-4386 | 2006-10-11 |
| 1619065067 | David Anthony Shore | Internal Medicine | 771 Old Norcross Rd, Suite 200, Lawrenceville, GA 30046-4386 | 2006-10-11 |
| 1770699480 | John Joseph Shelmet | Internal Medicine | 3131 Princeton Pike, Building 2b Suite 104, Lawrenceville, NJ 08648-2206 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427606847 | Ann W Edmundson | Internal Medicine | 15685 Rowe Rd, Milton, GA 30004-2628 | 2019-08-28 |
| 1831758846 | Diabetes and Endocrinology Associates East | Internal Medicine | 1380 Milstead Ave Ne Ste H, Conyers, GA 30012-3864 | 2019-06-12 |
| 1629453428 | Ghada Mohamed Sami Ahmed K Elshimy | Internal Medicine | 1120 15th St # Hb-5025, Augusta, GA 30912-0004 | 2015-07-22 |
| 1639552920 | Shahzeena Hafeez | Internal Medicine | 550 W Peachtree St Nw, Atlanta, GA 30308 | 2015-07-03 |
| 1295122745 | Thaer Idrees | Internal Medicine | 69 Jesse Hill Jr Dr Se Ste 200, Atlanta, GA 30303-3033 | 2015-04-22 |
| 1386056372 | Camille Frances Stanback | Internal Medicine | 550 Peachtree St Ne Ste 1950, Atlanta, GA 30308-2247 | 2014-05-23 |
| 1518377654 | John Gregory Zora | Internal Medicine | 975 Johnson Ferry Rd Ste 400, Atlanta, GA 30342-4736 | 2014-04-29 |
| 1538588249 | Wedad Rahman | Internal Medicine | 1301 Sigman Rd Ne Ste 280, Conyers, GA 30012-3947 | 2014-04-09 |
| 1427493709 | Senior Medical Systems, LLC | Internal Medicine | 220 Hills Creek Rd, Taylorsville, GA 30178-2068 | 2013-05-01 |
| 1437411592 | David Antonio Reyes Umpierrez | Internal Medicine | 550 Peachtree St Ne Fl Mot19, Atlanta, GA 30308-2247 | 2012-06-13 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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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.