DR. MICHAEL O OYERINDE (NPI# 1710129465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710129465 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL O OYERINDE |
| Credential | PH.D. |
| Practice Address |
2759 Mount Zion Pkwy Suite A/b Jonesboro GA 30236-2568 |
| Practice Telephone | 6782628441 |
| Practice Fax Number | 7704718441 |
| Mailing Telephone | 6782628441 |
| Mailing Fax Number | 7704718441 |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 031-039 | GA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE LICENSE | 031-039 | 01 |
| Street Address |
2759 MOUNT ZION PKWY SUITE A/B |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275572190 | Oluropo A Ayeni | Internal Medicine | 2759 Mount Zion Pkwy, Suite C, Jonesboro, GA 30236-2568 | 2006-06-06 |
| 1508482746 | Olubunmi Tina Ayeni | Nurse Practitioner | 2759 Mount Zion Pkwy, Jonesboro, GA 30236-2568 | 2020-06-23 |
| 1356971568 | Cassandra Amey | Speech-Language Pathologist | 2759 Mount Zion Pkwy, Jonesboro, GA 30236-2568 | 2020-01-16 |
| 1861056871 | Jasmine Merrell | Occupational Therapist | 2759 Mount Zion Pkwy, Jonesboro, GA 30236-2568 | 2019-04-24 |
| 1447784210 | Alexandra Shular | Speech-Language Pathologist | 2759 Mount Zion Pkwy, Suite A, Jonesboro, GA 30236-2568 | 2017-04-18 |
| 1376928903 | Mt Zion Urgent Care Center LLC | Clinic/Center | 2759 Mount Zion Pkwy, Suite D, Jonesboro, GA 30236-2568 | 2015-07-24 |
| 1538434311 | Wellspring Family Medical Center, Inc | Clinic/Center | 2759 Mount Zion Pkwy, Suite 3, Jonesboro, GA 30236-2568 | 2012-03-13 |
| 1063794154 | Bisol Home Care Services, Inc | In Home Supportive Care | 2759 Mount Zion Pkwy, Suite D, Jonesboro, GA 30236-2568 | 2011-09-14 |
| 1043448392 | Covenant Medical Diagnostics | Clinical Medical Laboratory | 2759 Mount Zion Pkwy, Suite A/b, Jonesboro, GA 30236-2568 | 2009-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
| 1417332503 | Civilian Barber Surgeons | Clinical Medical Laboratory | 8079 Tara Blvd, Jonesboro, GA 30236-3294 | 2015-07-30 |
| 1801127030 | Northeast Arkansas Clinic Charitable Foundation, Inc. | Clinical Medical Laboratory | 4802 E. Johnson Avenue, Jonesboro, AR 72401 | 2010-01-28 |
| 1508190992 | Sonopro Imaging, LLC | Clinical Medical Laboratory | 1816 Carolyn Dr, Jonesboro, AR 72404-8075 | 2009-10-01 |
| 1063832939 | Sequencing Solutions | Clinical Medical Laboratory | 2929 S Caraway Rd, Ste 5, Jonesboro, AR 72401-7307 | 2014-04-18 |
| 1043448392 | Covenant Medical Diagnostics | Clinical Medical Laboratory | 2759 Mount Zion Pkwy, Suite A/b, Jonesboro, GA 30236-2568 | 2009-06-25 |
| 1306009931 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2008-07-03 |
| 1992992085 | Northeast Ark Int Med C | Clinical Medical Laboratory | 311 E Matthews Ave, Jonesboro, AR 72401 | 2007-10-02 |
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| 1841807849 | Gold Coast Diagnostics, LLC | Clinical Medical Laboratory | 4390 Governor's Drive, 407, Forest Park, GA 30297-3029 | 2020-09-24 |
| 1154936979 | Achilles Healthcare LLC | Clinical Medical Laboratory | 6183 Indian Wood Cir Se, Mableton, GA 30126-2964 | 2020-09-09 |
| 1033737382 | Community Health and Wellness Lab | Clinical Medical Laboratory | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 | 2020-07-13 |
| 1497371744 | Gamma Laboratories, LLC | Clinical Medical Laboratory | 270 Carpenter Dr Ste 690, Sandy Springs, GA 30328-4931 | 2020-06-23 |
| 1346864592 | Omega Genomix, LLC | Clinical Medical Laboratory | 200 Washington St Nw Ste C, Gainesville, GA 30501-3622 | 2020-06-03 |
| 1467072231 | Ft Medical Group, LLC | Clinical Medical Laboratory | 777 Cleveland Ave Sw Ste 516, Atlanta, GA 30315-7115 | 2020-04-22 |
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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.