DR. OLUROTIMI BADERO


Address: 5240 Robinson Rd, Jackson, MS 39204-4134
Phone: 6013980904

DR. OLUROTIMI BADERO (NPI# 1548423114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548423114
Entity Type Individual
Full Name DR. OLUROTIMI BADERO
Credential MD
Practice Address 5240 Robinson Rd
Jackson
MS 39204-4134
Practice Telephone 6013980904
Practice Fax Number 6013982149
Mailing Telephone 6013980904
Mailing Fax Number 6013982149
Enumeration Date 2008-07-03
Last Update Date 2015-07-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
21527 MS Allopathic & Osteopathic Physicians
N 207RN0300X Internal Medicine
Specialization: Nephrology
21527 MS Allopathic & Osteopathic Physicians

Office Location

Street Address 5240 ROBINSON RD
City JACKSON
State MS
Zip Code 39204-4134

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639797442 Walk By Faith Not By Sight Homecare Student in an Organized Health Care Education/Training Program 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 2020-07-08
1427593888 Care First Home Care Agency, Inc In Home Supportive Care 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 2016-12-21
1134678808 Yolonda Kinzie Registered Nurse 1134 Winter St., Jackson, MS 39204 2016-09-23
1578983938 Seaneather Arline Mcgill Nurse's Aide 2024 Shady Lane Dr, Jackson, MS 39204 2014-04-23
1942591128 Real Solutilons, LLC Exclusive Provider Organization 831 Hwy 80 W., Jackson, MS 39204 2011-04-22
1548405236 Visions Physical Therapy Specialist/Technologist 4700 Robinson Rd, Jackson, MS 39204 2008-12-09
1588759393 Donald H Butts Specialist 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 2006-10-04
1003907460 Patrick E Weldon Psychiatry & Neurology 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 2006-09-28
1922117662 Elgin Kenneth Walley Dentist 2174 Henry Hill Drive, Jackson, MS 39204 2006-08-29
1376555045 Linda Nell Hunter Nurse Practitioner 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 2006-08-12
Find all providers in zip 39204

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053935437 Cvc Pllc Internal Medicine 22 Deepwood Dr, Jackson, TN 38305-9679 2020-06-02
1912143991 Theophilus James Humphreys Internal Medicine 164 W University Pkwy Ste A, Jackson, TN 38305-1621 2008-12-23
1740480961 Cardiovascular Clinic of West Tn PC Internal Medicine 2968 North Highland Avenue, Jackson, TN 38305-3609 2007-07-25
1013112457 The Cardiovascular Clinic of West Tennessee,p.c. Internal Medicine 162 Murray Guard Dr, Suite A, Jackson, TN 38305-3609 2007-06-17
1497829550 Shawn A Baldwin Internal Medicine 27a Medical Center Dr, Jackson, TN 38301-3949 2006-11-20
1083715254 Kenny K. Charn Internal Medicine 201 Clinton Rd, Suite 105, Jackson, CA 95642-2648 2006-09-26
1861590457 Sandra Speckels Mccearley Internal Medicine 970 Lakeland Dr Ste 61, Jackson, MS 39216 2006-09-20
1063425734 Mabbu Jayakumar Internal Medicine 168 W University Pkwy Ste C, Jackson, TN 38305-1624 2006-08-14
1851305429 Jackson Cardiology Associates, P.a. Internal Medicine 971 Lakeland Dr Ste 850, Jackson, MS 39216-4608 2006-07-28
1518989003 Hinds Cardiology Clinic Pa Internal Medicine 1832 Hospital Drive, Jackson, MS 39204-3410 2006-07-24
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39204

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Dataset Information

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.

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