DR. ABODUNRIN SULAIMON OLASUBOMI BADEJO (NPI# 1831157551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831157551 |
| Entity Type | Individual |
| Full Name | DR. ABODUNRIN SULAIMON OLASUBOMI BADEJO |
| Credential | M.D. |
| Practice Address |
228 Bucher Dr Mountain Home AR 72653-3400 |
| Practice Telephone | 8704254416 |
| Practice Fax Number | 8704258615 |
| Mailing Telephone | 8704254416 |
| Mailing Fax Number | 8704258615 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2017-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
E3359 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 06-1833974 | 01 | |
| AR | 152961001 | 05 |
| Street Address |
228 BUCHER DR |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952366510 | Peter Angus Mackercher II | Internal Medicine | 228 Bucher Dr, Mountain Home, AR 72653-3400 | 2006-04-18 |
| 1457893281 | Baxter County Regional Hospital Inc | Internal Medicine | 228 Bucher Dr, Mountain Home, AR 72653-3400 | 2016-11-10 |
| 1720271711 | Carmel C Kruse | Nurse Practitioner | 228 Bucher Dr, Mountain Home, AR 72653-3400 | 2007-08-22 |
| 1437114717 | William Stephen Dyer | Internal Medicine | 228 Bucher Dr, Mountain Home, AR 72653-3400 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1275584575 | Twin Lakes Medical Specialists, Pa | Internal Medicine | 628 Hospital Drive Ground Floor, Suite A, Mountain Home, AR 72653-2953 | 2006-05-12 |
| 1952366510 | Peter Angus Mackercher II | Internal Medicine | 228 Bucher Dr, Mountain Home, AR 72653-3400 | 2006-04-18 |
| 1457893281 | Baxter County Regional Hospital Inc | Internal Medicine | 228 Bucher Dr, Mountain Home, AR 72653-3400 | 2016-11-10 |
| 1437114717 | William Stephen Dyer | Internal Medicine | 228 Bucher Dr, Mountain Home, AR 72653-3400 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073079596 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 Rodney Parham Rd, Suite A, Little Rock, AR 72212-7221 | 2019-02-20 |
| 1114482379 | Medical Associates of Northwest Arkansas Pa | Internal Medicine | 3344 N Futrall Dr Ste B, Fayetteville, AR 72703-4057 | 2019-02-01 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1508357120 | Stephan Dehmel | Internal Medicine | 4301 W Markham St Ste 567, Little Rock, AR 72205-7101 | 2018-05-21 |
| 1366933855 | Your Bariatric Care Clinic Ea | Internal Medicine | 1 Saint Vincent Cir Ste 320, Little Rock, AR 72205-5408 | 2018-05-21 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1376054155 | Conway Regional Medical Center, Inc | Internal Medicine | 2200 Ada Ave Ste 201, Conway, AR 72034-4984 | 2017-10-19 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1871049932 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 901 Se 28th St, Bentonville, AR 72712-3880 | 2016-08-29 |
| 1326466020 | Patrick Selakovich | Internal Medicine | 3401 Springhill Dr Ste 400, North Little Rock, AR 72117-2928 | 2014-04-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on DR. ABODUNRIN SULAIMON OLASUBOMI BADEJO.
| 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.