Modupe C. Adesola (NPI# 1184076770, PAC ID# 7618262403) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184076770 |
| PAC ID by PECOS | 7618262403 |
| Professional Enrollment ID | I20160817003019 |
| Full Name | Modupe C. Adesola |
| Organization Legal Name | PEARL GERIATRICS AND PALLIATIVE MEDICINE, PSC |
| Address |
4200 Gardiner View Ave Suite 101 Louisville KY 40213-1877 |
| Phone Number | 5024560494 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6103954847 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 | 5024560494 | PEARL GERIATRICS AND PALLIATIVE MEDICINE, PSC |
| Organization Legal Name | PEARL GERIATRICS AND PALLIATIVE MEDICINE, PSC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy C Bockelman | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Oluwasegun A. Abe | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Makulah E Schweiger | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Mary Katherine Biros | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Margaret L. Mason | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Amanda A. Wiley | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Heather R Downs | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Lucretia F Hovell | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Louisville, KY 40213-1877 |
| Terry L Cable | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Street Address |
4200 GARDINER VIEW AVE SUITE 101 |
| City | LOUISVILLE |
| State | KY |
| Zip | 40213-1877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheena L. Steele | Nurse Practitioner | Pearl Medical Practice Pllc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Jeremy C Bockelman | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Vicky L. Raisor | Nurse Practitioner | Pearl Medical Practice Pllc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Oluwasegun A. Abe | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Makulah E Schweiger | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Mary Katherine Biros | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Mark Harris | Nurse Practitioner | Pearl Medical Practice Pllc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Margaret L. Mason | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Beth Mccoy | Nurse Practitioner | Pearl Medical Practice Pllc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Amanda A. Wiley | Nurse Practitioner | Pearl Geriatrics and Palliative Medicine, Psc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colleen E Campbell | Qualified Audiologist | Advanced Ent and Allergy Pllc | 3515 Poplar Level Rd, Louisville, KY 40213-1009 |
| Katherine Noelle Griffith | Qualified Audiologist | Advanced Ent and Allergy Pllc | 3515 Poplar Level Rd, Louisville, KY 40213-1009 |
| Gregory M Abbas | Otolaryngology | Advanced Ent and Allergy Pllc | 3515 Poplar Level Rd, Louisville, KY 40213-1009 |
| Janet M Hedger | Audiologist | Advanced Ent and Allergy Pllc | 3515 Poplar Level Rd, Louisville, KY 40213-1009 |
| Ralph M Green | Oral Surgery | 3809 Poplar Level Rd B, Louisville, KY 40213-1429 | |
| Julie M Rallo | Optometry | Louisville Optometric Centers IIi, Psc | 4000 Poplar Level Rd, Louisville, KY 40213-1524 |
| Beth Anne Minton | Optometry | Louisville Optometric Centers IIi, Psc | 4000 Poplar Level Rd, Louisville, KY 40213-1524 |
| Kristin L Rabaut | Optometry | Louisville Optometric Centers IIi, Psc | 4000 Poplar Level Rd, Louisville, KY 40213-1524 |
| Thomas E Lalonde | Optometry | Louisville Optometric Centers IIi, Psc | 4000 Poplar Level Rd, Louisville, KY 40213-1524 |
| Joseph M Hammond | Optometry | Louisville Optometric Centers IIi, Psc | 4000 Poplar Level Rd, Louisville, KY 40213-1524 |
| Find all physicians in zip 40213 | |||
| City | LOUISVILLE |
| Zip Code | 40213 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOUISVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Modupe C. Adesola.
| 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.