Gbenga Balogun, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN330799 Issued in OH

Practice address

1225 Summit Street
Lima, OH 45801

Phone

(419) 979-3177

NPI assigned

Mar 3, 2015

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1134511918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 SUMMIT STREET",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45801",
            "telephone_number": "419-979-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 SUMMIT STREET",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45801",
            "telephone_number": "419-979-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOGUN",
        "first_name": "GBENGA",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN330799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maranda Jean Ball
• Ivan L Ballard, CDCA
• Courtney E. Baller, CNP
• Jennifer Ballou, APRN.CNP
• Marla Balog
• Obe Destiny Balogun
• Valerie Balser, PA-C
• Edward B Balsink, MD
• Pratap Balusu, MD
• A Pierre Bamdad, MD

• Registered Nurse in Lima, OH
• Providers in Lima, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.