Bolanle A Sogade (NPI# 1558455113, PAC ID# 1153397955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1558455113 |
| PAC ID by PECOS | 1153397955 |
| Professional Enrollment ID | I20040902001156 |
| Full Name | Bolanle A Sogade |
| Organization Legal Name | DR. BOLANLE SOGADE M.D. LLC |
| Address |
639 Hemlock St Suite 101 Macon GA 31201-6886 |
| Phone Number | 4787453014 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0648246520 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| 110164 | COLISEUM MEDICAL CENTERS, LLC, DBA |
| Address | Phone | Organization |
|---|---|---|
| 639 Hemlock St, Suite 101, Macon, GA 31201-6886 | 4787453014 | DR. BOLANLE SOGADE M.D. LLC |
| Organization Legal Name | DR. BOLANLE SOGADE M.D. LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah M Matovu | Family Medicine | Dr. Bolanle Sogade M.d. LLC | 639 Hemlock St, Suite 101, Macon, GA 31201-6886 |
| Chidinma Ogoh | Nurse Practitioner | Dr. Bolanle Sogade M.d. LLC | 639 Hemlock St, Suite 101, Macon, GA 31201-6886 |
| Street Address |
639 HEMLOCK ST SUITE 101 |
| City | MACON |
| State | GA |
| Zip | 31201-6886 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah M Matovu | Family Medicine | Dr. Bolanle Sogade M.d. LLC | 639 Hemlock St, Suite 101, Macon, GA 31201-6886 |
| Amy Shiley Groover | Nurse Practitioner | Macon Electrophysiology Asso, P.C. | 639 Hemlock St, Suite 100, Macon, GA 31201-6886 |
| Chidinma Ogoh | Nurse Practitioner | Dr. Bolanle Sogade M.d. LLC | 639 Hemlock St, Suite 101, Macon, GA 31201-6886 |
| Bridget J Leary | Nurse Practitioner | Macon Electrophysiology Asso, P.C. | 639 Hemlock St, Suite 100, Macon, GA 31201-6886 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fady S Wanna | Thoracic Surgery | 688 Walnut St, Suite 102, Macon, GA 31201-0329 | |
| Kuo L Lee | Diagnostic Radiology | Medrad LLC | 1818 Forsyth St, Suite 100, Macon, GA 31201-1102 |
| Pankaj T Patel | Diagnostic Radiology | Medrad LLC | 1818 Forsyth St, Suite 100, Macon, GA 31201-1102 |
| Felicity A Quansah | Ophthalmology | 1870 Hardeman Ave, Macon, GA 31201-1161 | |
| M Gary Carter | Ophthalmology | 1867 Forsyth St, Macon, GA 31201-1166 | |
| Conrad N Miller | Family Medicine | 1818 Forsyth St, Suite 200, Macon, GA 31201-1170 | |
| Andrew Hall | Occupational Therapy | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Emily C Kell | Physical Therapy | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Steven A Kelham | Physician Assistant | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Brandon D Cantrell | Physician Assistant | Macon Orthopedic and Hand Center Pa | 1600 Forsyth St, Macon, GA 31201-1408 |
| Find all physicians in zip 31201 | |||
| City | MACON |
| Zip Code | 31201 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MACON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Bolanle A Sogade.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.