FOLUSO N OGUNLEYE (NPI# 1972766772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972766772 |
| Entity Type | Individual |
| Full Name | FOLUSO N OGUNLEYE |
| Credential | MD |
| Practice Address |
9250 N 3rd St Ste 3010 Phoenix AZ 85020 |
| Mailing Address |
9250 N 3rd St Ste 3010 Phoenix AZ 85020-2425 |
| Practice Telephone | 6232387750 |
| Practice Fax Number | 4808825018 |
| Mailing Telephone | 6232387750 |
| Mailing Fax Number | 4808825018 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
53728 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS OF IA | 13238 | 01 |
| IL | BCBS OF ILLINOIS | 8122859 | 01 |
| IL | CLINIC NPI | 1710971486 | 01 |
| IA | CLINIC NPI | 1932193224 | 01 |
| IA | 0080200 | 05 | |
| IA | BILLING TAX ID # FOR CHC | 421060724 | 01 |
| IA | DEA # | FO0897629 | 01 |
| IA | CONTROLLED SUBSTANCE | 1243255 | 01 |
| Street Address |
9250 N 3RD ST STE 3010 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336384809 | Irwin W Tischler | Internal Medicine | 4638 E Berneil Dr, Phoenix, AZ 85028-5500 | 2008-12-11 |
| 1740392893 | Teresita Co Barnett | Internal Medicine | 14660 N Coral Gables Dr, Phoenix, AZ 85023-6285 | 2006-08-31 |
| 1972555688 | Jerry Alan Olshan | Internal Medicine | 334 E Hatcher Rd, Phoenix, AZ 85020-2536 | 2006-05-17 |
| 1033161757 | Southwest Oncology & Hematology, PC | Internal Medicine | 3411 N 5th Avenue, Suite 400, Phoenix, AZ 85013-3899 | 2006-05-17 |
| 1205804283 | Mazen Khattab | Internal Medicine | 19646 N 27th Ave Ste 406, Phoenix, AZ 85027-4028 | 2006-03-08 |
| 1083698955 | Surabhi Amar | Internal Medicine | 2525 E Roosevelt St, Phoenix, AZ 85008-4948 | 2005-12-02 |
| 1659363794 | Sucai Bi | Internal Medicine | 1441 N. 12th St, Phoenix, AZ 85006 | 2005-08-16 |
| 1093008336 | Amber L Flaherty | Internal Medicine | 2222 E Highland Ave, Ste. # 400, Phoenix, AZ 85016-4872 | 2011-05-19 |
| 1215166335 | Debra A Wong | Internal Medicine | 625 N 6th St, Phoenix, AZ 85004 | 2009-07-10 |
| 1003056425 | Northwest Oncology & Hematology, Pllc | Internal Medicine | 19636 N 27th Ave, Suite 303, Phoenix, AZ 85027-4013 | 2009-02-25 |
| Find all providers in PHOENIX | ||||
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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.