DR. OLUFEMI ADEMOLA OGUNDEJI (NPI# 1912226697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912226697 |
Entity Type | Individual |
Full Name | DR. OLUFEMI ADEMOLA OGUNDEJI |
Credential | M.D, MPH |
Practice Address |
1006 Highland Ave Brentwood Hospital Shreveport LA 71101-4103 |
Practice Telephone | 3182226226 |
Practice Fax Number | 3182226227 |
Mailing Telephone | 3182226226 |
Mailing Fax Number | 3182226227 |
Enumeration Date | 2010-05-20 |
Last Update Date | 2016-02-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
MD207354 | LA | Allopathic & Osteopathic Physicians |
Street Address |
1006 HIGHLAND AVE BRENTWOOD HOSPITAL |
City | SHREVEPORT |
State | LA |
Zip Code | 71101-4103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417979204 | Brentwood Acquisition-shreveport Inc. | Psychiatry & Neurology | 1006 Highland Ave, Shreveport, LA 71101 | 2006-07-24 |
1659981975 | Lucretia A Mcfarland | Counselor | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2020-08-01 |
1104471382 | Juanita Carolyn Roberts | Nurse Practitioner | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2019-08-05 |
1770138000 | Elizabeth French Bright | Psychiatry & Neurology | 1006 Highland Ave, Brentwood Hospital, Shreveport, LA 71101 | 2019-08-04 |
1104393644 | Nicole Lahr | Counselor | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2018-11-01 |
1528421302 | Veda Cawthorn | Social Worker | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2016-03-30 |
1124406400 | Kimberly Forcinel | Registered Nurse | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2015-05-07 |
1558627182 | Amit D. Desai | Psychiatry & Neurology | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2012-04-09 |
1700166717 | Alexandra Jones Stewart | Nurse Practitioner | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2011-08-22 |
1164725701 | Brentwood Acquisition-shreveport Inc. | Psychiatric Hospital | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2010-12-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
Find all providers in zip 71101 |
Taxonomy Code | 2084P0802X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Psychiatry |
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912950957 | Jeri Lynn Rasch | Psychiatry & Neurology | 6005 Financial Plz, Shreveport, LA 71129-2615 | 2006-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
1043264351 | Ness Healthcare Nfp | Psychiatry & Neurology | 23515 Hwy 190, Mandeville, LA 70448 | 2006-05-20 |
1790751642 | Connie Hale | Psychiatry & Neurology | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2006-02-28 |
1790774081 | Tawfik M. Mukhtar-benghozi | Psychiatry & Neurology | 5920 Coliseum Blvd., Alexandria, LA 71303-3714 | 2005-10-19 |
1922546035 | Browers, LLC | Psychiatry & Neurology | 4933 Wabash St, Metairie, LA 70001-1031 | 2017-02-09 |
1528254257 | Acadia Hospital of Lafayette, LLC | Psychiatry & Neurology | 2520 N University Ave, Lafayette, LA 70507-5306 | 2007-09-17 |
1699700880 | George W. Diggs Jr. | Psychiatry & Neurology | 302 Dulles Dr, Suite 1, Lafayette, LA 70506-3008 | 2006-07-12 |
City | SHREVEPORT |
Zip Code | 71101 |
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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.