DR. MERCY ADEOLA ODUEYUNGBO (NPI# 1801107552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801107552 |
| Entity Type | Individual |
| Full Name | DR. MERCY ADEOLA ODUEYUNGBO |
| Credential | M.D., |
| Practice Address |
1500 Sandpoint Rd Munising MI 49862 |
| Mailing Address |
540 S Lakeshore Blvd Unit 34 Marquette MI 49855-4631 |
| Practice Telephone | 9063627546 |
| Practice Fax Number | 4132698079 |
| Mailing Telephone | 9063627546 |
| Mailing Fax Number | 4133627546 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
4301108524 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1500 SANDPOINT RD |
| City | MUNISING |
| State | MI |
| Zip Code | 49862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518953934 | David M Gast | Physical Medicine & Rehabilitation | 1500 Sandpoint Rd, Munising, MI 49862 | 2005-09-21 |
| 1427611391 | Munising Memorial Hospital Association | Specialist | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2019-04-17 |
| 1619441730 | Natalie Pianetto Buck | Dermatology | 1500 Sandpoint Rd, Munising, MI 49862 | 2019-01-11 |
| 1780156232 | Dylan Koenig | Physician Assistant | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2018-12-21 |
| 1750894648 | Munising Memorial Hospital Association | Medicare Defined Swing Bed Unit | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2017-11-14 |
| 1841694734 | Sara Carter | Nurse Practitioner | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2014-10-21 |
| 1295143865 | Chelsea Teal Texter | Nurse Practitioner | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2014-07-28 |
| 1043562762 | Munising Memorial Hospital | Family Medicine | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2012-10-04 |
| 1831447770 | Nicole Roth | Physician Assistant | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2012-08-27 |
| 1023370624 | Chelsea Elise Ray | Family Medicine | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2012-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619202447 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 413 Maple Street, Suite 2, Munising, MI 49862 | 2009-10-13 |
| 1639329287 | George Schultz | Pharmacist | 415 E. Hwy. M-28, Munising, MI 49862 | 2008-09-19 |
| 1376619973 | Victor Adam Patronik | Dentist | 109 East Superior, Munising, MI 49862 | 2006-11-27 |
| 1386650182 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 415 E M-28, Munising, MI 49862 | 2006-08-01 |
| 1952320509 | Michelle L Sharp | Psychologist | 601 West Superior Street, Munising, MI 49862 | 2006-07-18 |
| 1457309569 | Kurt Richard Olson | Family Medicine | 1504 Sand Point Road, Munising, MI 49862 | 2006-05-04 |
| 1154592491 | Paula Marie Ackerman | Dietitian, Registered | 1500 Sand Point Rd, Munising, MI 49862 | 2008-03-14 |
| 1669575148 | Superior Walk-in Center, PC | Family Medicine | 1504 Sand Point Road, Munising, MI 49862 | 2006-09-07 |
| 1043254626 | Mark Walter Olson | Family Medicine | 1504 Sand Point Road, Munising, MI 49862 | 2006-06-15 |
| 1710334636 | Back In Motion Chiropractic LLC | Chiropractor | 413 Maple St, Suite 2, Munising, MI 49862-1088 | 2016-05-20 |
| Find all providers in zip 49862 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1407309560 | St Joseph Dermatology and Vein Clinic Pllc | Dermatology | 2500 Niles Rd Ste 10a, Saint Joseph, MI 49085-3272 | 2016-07-25 |
| 1003290750 | El Tal Md PC | Dermatology | 555 Midtowne St Ne Ste 301, Grand Rapids, MI 49503-5729 | 2015-07-13 |
| 1912347923 | Forefront Dermatology, S.c. | Dermatology | 4362 Cascade Road, Suite 206, Grand Rapids, MI 49546 | 2013-07-05 |
| 1699003699 | Robert G Lee P C | Dermatology | 200 S Wenona St Ste G96, Bay City, MI 48706-8831 | 2009-12-02 |
| 1265645535 | Academic Dermatology & Cosmetic Surgery Center, Pllc | Dermatology | 50182 Schoenherr Road, Shelby Twp., MI 48315 | 2007-05-07 |
| 1649300880 | Skin Care Physicians PC | Dermatology | 2026 N Beech Daly Rd, Dearborn Heights, MI 48127-3405 | 2007-03-06 |
| 1437133097 | Kent Jerome Krach | Dermatology | 43900 Garfield Road, Suite 100, Clinton Township, MI 48038 | 2005-12-06 |
| 1134124217 | Montgomery O Gillard | Dermatology | 4990 W Clark Rd, Building A, Suite 200, Ypsilanti, MI 48197-1149 | 2005-06-16 |
| 1366906364 | Tru North Dermatology | Dermatology | 315 Oakgrove St, Manistee, MI 49660-1176 | 2019-01-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MERCY ADEOLA ODUEYUNGBO.
| 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.