Osawaru J Omoruyi (NPI# 1396961967, PAC ID# 8921190992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1396961967 |
PAC ID by PECOS | 8921190992 |
Professional Enrollment ID | I20090325000174 |
Full Name | Osawaru J Omoruyi |
Organization Legal Name | PEARL MEDICAL PRACTICE PLLC |
Address |
2902 Bardstown Rd Suite D Louisville KY 40205-3066 |
Phone Number | 5024560494 |
Gender | M |
Graduation Year | 1998 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | GERIATRIC MEDICINE |
Group Practice PAC ID | 1951547108 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
180088 | NORTON HOSPITALS, INC |
180130 | BAPTIST HEALTH LOUISVILLE |
Address | Phone | Organization |
---|---|---|
1850 Bluegrass Ave, Louisville, KY 40215-1161 | 5023673360 | KOMG-LOUISVILLE REGION INC |
2210 Buechel Ave, Suite 105, Louisville, KY 40218-2619 | 5024560494 | PEARL MEDICAL PRACTICE PLLC |
2210 Buechel Ave, Suite 105, Louisville, KY 40218-2619 | PEARL GERIATRICS AND PALLIATIVE MEDICINE, PSC | |
2902 Bardstown Rd, Suite D, Louisville, KY 40205-3066 | 5024560494 | PEARL MEDICAL PRACTICE PLLC |
4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 | 5024560494 | PEARL MEDICAL PRACTICE PLLC |
4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 | PEARL GERIATRICS AND PALLIATIVE MEDICINE, PSC |
Organization Legal Name | PEARL MEDICAL PRACTICE PLLC |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sheena L. Steele | Nurse Practitioner | Pearl Medical Practice Pllc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
Thomas Eric Sonne | Otolaryngology | Pearl Medical Practice Pllc | 2210 Buechel Ave, Suite 105, Louisville, KY 40218-2619 |
Vicky L. Raisor | Nurse Practitioner | Pearl Medical Practice Pllc | 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 |
Lori Elizabeth Weis | Nurse Practitioner | Pearl Medical Practice Pllc | 2902 Bardstown Rd, Suite D, Louisville, KY 40205-3066 |
Beth Mccoy | Nurse Practitioner | Pearl Medical Practice Pllc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
Rachel W. Traughber | Nurse Practitioner | Pearl Medical Practice Pllc | 4200 Gardiner View Ave, Suite 101, Louisville, KY 40213-1877 |
Street Address |
2902 BARDSTOWN RD SUITE D |
City | LOUISVILLE |
State | KY |
Zip | 40205-3066 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lori Elizabeth Weis | Nurse Practitioner | Pearl Medical Practice Pllc | 2902 Bardstown Rd, Suite D, Louisville, KY 40205-3066 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathy A Nieder | Family Medicine | Baptist Health Medical Group Inc | 1603 Stevens Ave, Louisville, KY 40205-1087 |
Jennifer Caskey | Nurse Practitioner | Baptist Health Medical Group Inc | 1603 Stevens Ave, Louisville, KY 40205-1087 |
Terry S Weiss | Family Medicine | Baptist Health Medical Group Inc | 1603 Stevens Ave, Louisville, KY 40205-1087 |
Susan D Jewell | Nurse Practitioner | Baptist Health Medical Group Inc | 1603 Stevens Ave, Louisville, KY 40205-1087 |
Charles E Copeland | Chiropractic | 1525 Bardstown Rd, Louisville, KY 40205-1109 | |
Michael Martorana | Optometry | 1562 Bardstown Rd, Louisville, KY 40205-1155 | |
Linda M Block-coalter | Clinical Social Worker | 1646 Cowling Ave, Louisville, KY 40205-1370 | |
Deborah Ann Zinsius | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 2100 Millvale Rd, Louisville, KY 40205-1604 |
Wendi L Whitworth | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 2100 Millvale Rd, Louisville, KY 40205-1604 |
Ashley Mckinney | Nurse Practitioner | Shc Medical Partners of Kentucky, LLC | 2100 Millvale Rd, Louisville, KY 40205-1604 |
Find all physicians in zip 40205 |
City | LOUISVILLE |
Zip Code | 40205 |
Specialty | FAMILY MEDICINE |
City + Specialty | LOUISVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Osawaru J Omoruyi.
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.