OLAYEMI CHUKWUOGO (NPI# 1902176779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902176779 |
| Entity Type | Individual |
| Full Name | OLAYEMI CHUKWUOGO |
| Other Name | OLAYEMI ODUTAYO |
| Credential | M.D. |
| Practice Address |
2800 S Texas Ave Suite 202 Bryan TX 77802-5361 |
| Practice Telephone | 9797742060 |
| Practice Fax Number | 9797765915 |
| Mailing Telephone | 9797742060 |
| Mailing Fax Number | 9797765915 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2014-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Q0618 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2800 S TEXAS AVE SUITE 202 |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-5361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639490089 | Kuy Houser | Family Medicine | 2800 S Texas Ave, Suite 202, Bryan, TX 77802-5361 | 2010-06-21 |
| 1881040566 | Shervy Xavier | Family Medicine | 2800 S Texas Ave, Bryan, TX 77802-5361 | 2016-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609333095 | Holly Ann Kleypas | Family Medicine | 1121 Briarcrest Dr Ste 303, Bryan, TX 77802-2500 | 2019-02-21 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1457898660 | Wellspring Physician, P.C. | Family Medicine | 309 N Washington Ave, Suite 13, Bryan, TX 77803-5368 | 2017-01-25 |
| 1700286986 | Michael D. Mckinney, Md. | Family Medicine | 3313 Emory Oak Dr, Bryan, TX 77807-4001 | 2014-08-25 |
| 1437558210 | Wellspring Physician, P.a. | Family Medicine | 309 N. Washington Ave, Suite 13, Bryan, TX 76248 | 2014-08-18 |
| 1639490089 | Kuy Houser | Family Medicine | 2800 S Texas Ave, Suite 202, Bryan, TX 77802-5361 | 2010-06-21 |
| 1275705089 | Michael F. Ruggiero, Do, Pa | Family Medicine | 2901 E 29th St, Suite 123, Bryan, TX 77802-2692 | 2008-04-01 |
| 1750572681 | Benjamin W. Dudycha | Family Medicine | 3351 University Dr E Ste 111, Bryan, TX 77802-3470 | 2007-08-06 |
| 1164634606 | Sybil Jane Taquet | Family Medicine | 2410 Boonville Rd, Bryan, TX 77808-2226 | 2007-05-04 |
| 1831259399 | Davelyn Eaves Hood | Family Medicine | 3370 South Texas Avenue, Suite B, Bryan, TX 77802 | 2006-12-12 |
| Find all providers in BRYAN | ||||
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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.