NICHOLAS A OGUNMOLA (NPI# 1578669743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578669743 |
| Entity Type | Individual |
| Full Name | NICHOLAS A OGUNMOLA |
| Credential | MD |
| Practice Address |
1500 Cooper St Fort Worth TX 76104-2710 |
| Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
| Practice Telephone | 8173481990 |
| Practice Fax Number | 6828851985 |
| Mailing Telephone | 6828551855 |
| Mailing Fax Number | 6828857347 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2012-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
L7082 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 140442852 | 05 | |
| TX | CIGNA PIN | 816427 | 01 |
| TX | FIRSTCARE PIN | 133649100 | 01 |
| TX | 158394001 | 05 | |
| GRP NPI NUMBER | 1750369203 | 01 | |
| TX | UHC PIN | 2335131 | 01 |
| TX | 137345810 | 05 | |
| TX | SUPERIOR PIN | 124174 | 01 |
| TX | FIRSTHEALTH PIN | 2113894 | 01 |
| TX | BCBSTX IND PIN | 8G7691 | 01 |
| TX | BCBSTX GRP PIN | 00U87Z | 01 |
| TX | AETNA PIN | 7710465 | 01 |
| TX | AMERIGROUP PIN | 10010583 | 01 |
| TX | 158394002 | 05 |
| Street Address |
1500 COOPER ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747653 | Luciana Rochetti | Physician Assistant | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2005-08-15 |
| 1821696493 | Leekelli Kennedy | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-10-15 |
| 1871109124 | Caitlyn R Praytor | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-09-22 |
| 1497389126 | Chelsea Barrow | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-03-03 |
| 1386281871 | Emily Susan Larkin | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-12-04 |
| 1508416629 | Christa Standefer | Family Medicine | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-09-19 |
| 1972153112 | Alexis Courtney | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-09-19 |
| 1366099376 | Haley Tullos | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-08-23 |
| 1538716139 | Amanda Rae Macdonald | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-08-20 |
| 1730731498 | Erin Walkley | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922391176 | Samson Cantu | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2011-05-20 |
| 1578656658 | Lyn I Hunt | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-02 |
| 1528096658 | Bankole O Osuntokun | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033537550 | Wenly Ruan | Pediatrics | 6701 Fannin St # D1010.00, Houston, TX 77030-2608 | 2014-04-01 |
| 1336566611 | Savini Lanka Britto | Pediatrics | 6621 Fannin Steet, Mark Wallace Tower 1010.00, Houston, TX 77030 | 2014-03-25 |
| 1609122860 | Huyen Nguyen | Pediatrics | 2350 N Stemmons Fwy Ste 4500, Dallas, TX 75207-2700 | 2012-07-25 |
| 1871736504 | Vera Ajuma Okwu | Pediatrics | 225 E Sonterra Blvd Ste 213, San Antonio, TX 78258-3992 | 2009-04-10 |
| 1770749947 | Gi Care for Kids Pa | Pediatrics | 1810 Hale Ave, Suite 9, Harlingen, TX 78550-7541 | 2008-08-06 |
| 1306009436 | Robert Simek | Pediatrics | 3502 9th St Ste 320, Lubbock, TX 79415-3368 | 2008-07-09 |
| 1679771117 | Lillienne Yoon Chan | Pediatrics | 7777 Forest Ln Ste B304, Dallas, TX 75230-6818 | 2007-07-05 |
| 1578639340 | Nelson Jesus Spinetti | Pediatrics | 2707 Cornerstone Blvd, Edinburg, TX 78539-8464 | 2006-11-25 |
| 1598845836 | Bryan S. Vartabedian | Pediatrics | 17580 Interstate 45 South, The Woodlands, TX 77384 | 2006-10-17 |
| 1831109909 | Ben Joseph Elizondo | Pediatrics | 109 Gallery Circle, Suite 127, San Antonio, TX 78258 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.