Olugbenga Omotayo Sulaiman, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

LL16650 Issued in OR

Practice address

1200 Hilyard St
Suite 600
Eugene, OR 97401-8122

Phone

(541) 485-8111

Fax

(541) 342-6379

NPI assigned

Jul 9, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Slocum Orthopedics, PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Springfield, OR
  • NPI 1386146405
  NPD (past)
• Slocum Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Eugene, OR
  • NPI 1881694867
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033317367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HILYARD ST",
            "address_2": "SUITE 600",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018122",
            "telephone_number": "541-485-8111",
            "fax_number": "541-342-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HILYARD ST",
            "address_2": "SUITE 600",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018122",
            "telephone_number": "541-485-8111",
            "fax_number": "541-342-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULAIMAN",
        "first_name": "OLUGBENGA",
        "middle_name": "OMOTAYO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OR",
            "license": "LL16650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Andrew Suhling, PA-C
• Caroline Suiter
• James G Suiter, PA
• Jasmine Kay Suiter
• Sirisha R Sukrutham
• Nancy Sue Sulliger, PMHNP
• Amalia Sullivan, LCSW
• Eric M Sullivan, MD
• Kathy J. Sullivan, L.C.S.W.
• Kaylee Sullivan, RBAI

• Sports Medicine (Orthopaedic Surgery) Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.