Adegbenga O Otun (NPI# 1356706477, PAC ID# 2668774753) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1356706477 |
| PAC ID by PECOS | 2668774753 |
| Professional Enrollment ID | I20160106001752 |
| Full Name | Adegbenga O Otun |
| Organization Legal Name | PHYSICIANS REFERRAL SERVICE |
| Address |
6655 Travis St Suite 650 Houston TX 77030-1316 |
| Phone Number | 7135632772 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 7911801410 |
| Number of Group Practice Members | 2027 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450076 | THE UNIVERSITY OF TEXAS M.D. ANDERSON CANCER CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1515 Holcombe Blvd, Houston, TX 77030-4000 | 7137922121 | PHYSICIANS REFERRAL SERVICE |
| 1515 Holcombe Blvd Clinical Lab, Suite 73, Houston, TX 77030-4000 | 7137926313 | PHYSICIANS REFERRAL SERVICE |
| 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 | 7137926127 | PHYSICIANS REFERRAL SERVICE |
| 1515 Holcombe Blvd Hemopathology, Suite 72, Houston, TX 77030-4000 | 7137945446 | PHYSICIANS REFERRAL SERVICE |
| 6655 Travis St, Suite 650, Houston, TX 77030-1316 | 7135632772 | PHYSICIANS REFERRAL SERVICE |
| Organization Legal Name | PHYSICIANS REFERRAL SERVICE |
| Physicians | 2151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Koji Sasaki | Hematology/oncology | Physicians Referral Service | 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 |
| Ashley H Guardado | Nurse Practitioner | Physicians Referral Service | 2280 Gulf Fwy S, Uot Md and Can Cen Reg Cre Cen In Lgue City, League City, TX 77573-5143 |
| Stephen Lee | Diagnostic Radiology | Physicians Referral Service | 1515 Holcombe Blvd Hemopathology, Suite 72, Houston, TX 77030-4000 |
| Maria K Gule | Diagnostic Radiology | Physicians Referral Service | 1515 Holcombe Blvd Clinical Lab, Suite 73, Houston, TX 77030-4000 |
| Tracey L Duncan | Physician Assistant | Physicians Referral Service | 17450 St Luke's Way, Mac IIi Suite 400, The Woodlands, TX 77384-8011 |
| Courtney M Robb | Nurse Practitioner | Physicians Referral Service | 1327 Lake Pointe Pkwy, Sugar Land, TX 77478-4095 |
| David L Ramirez | Hematology/oncology | Physicians Referral Service | 13900 Katy Fwy, Houston, TX 77079-1012 |
| Merry Chen | Neurology | Physicians Referral Service | 1515 Holcombe Blvd, Houston, TX 77030-4000 |
| Christa K Chapman | Certified Registered Nurse Anesthetist (crna) | Physicians Referral Service | 2555 Holly Hall St, Houston, TX 77054-4124 |
| Hannah D Brouwer | Physician Assistant | Physicians Referral Service | 100 Fellowship Dr, Conroe, TX 77384-4797 |
| Street Address |
6655 TRAVIS ST SUITE 650 |
| City | HOUSTON |
| State | TX |
| Zip | 77030-1316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen L Mackenney | Nurse Practitioner | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| January Y Tsai | Anesthesiology | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Megan J Tanner | Nurse Practitioner | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Erica V Jimenez | Physician Assistant | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Nina R Patel | Physician Assistant | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Tarin A Doubt | Physician Assistant | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Sheldon Chen | Nephrology | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Vickie R Shannon | Pulmonary Disease | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Ellen C Mullen | Nurse Practitioner | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Mark T Villa | Plastic and Reconstructive Surgery | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David T Netscher | Hand Surgery | 6624 Fannin, Suite 2730, Houston, TX 77030 | |
| Petros E Carvounis | Ophthalmology | 6655 Travis St, Suite 560, Houston, TX 77030-1312 | |
| Simona F Shaitelman | Radiation Oncology | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Rincy Joby | Nurse Practitioner | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Shailee M Sheth | Nurse Practitioner | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Irene Thomas Thayil | Physician Assistant | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Maria Veronica T Revilla | Nurse Practitioner | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Robert C Bast Jr. | Internal Medicine | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Diane M Novy | Psychologist, Clinical | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Kelly K Hunt | Surgical Oncology | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Find all physicians in zip 77030 | |||
| City | HOUSTON |
| Zip Code | 77030 |
| Specialty | ORAL SURGERY |
| City + Specialty | HOUSTON + ORAL SURGERY |
Please comment or provide details below to improve the information on Adegbenga O Otun.
| 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.