Olayinka Osifeso

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4608 W Pittsburg St
Broken Arrow, OK 74012-5967

Phone

(918) 289-7511

NPI assigned

Feb 19, 2017

Last updated

Feb 19, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1487462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487462400000",
    "number": "1124567490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 W PITTSBURG ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125967",
            "telephone_number": "918-289-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 W PITTSBURG ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125967",
            "telephone_number": "918-289-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIFESO",
        "first_name": "OLAYINKA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-19",
        "last_updated": "2017-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2017; 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.