Medstat Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

0101052627 Issued in VA

Legal business name

MEDSTAT INC

Practice address

433B S Sycamore St
Petersburg, VA 23803-5042

Phone

(804) 732-0248

Fax

(804) 732-8475

NPI assigned

Mar 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Eniola Adebayo Okelana, MD, FCCP

Title

Director

Phone

(804) 732-0248

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1238198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238198400000",
    "number": "1164664702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433B S SYCAMORE ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035042",
            "telephone_number": "804-732-0248",
            "fax_number": "804-732-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433B S SYCAMORE ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035042",
            "telephone_number": "804-732-0248",
            "fax_number": "804-732-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-28",
        "last_updated": "2009-03-28",
        "status": "A",
        "authorized_official_last_name": "OKELANA",
        "authorized_official_first_name": "ENIOLA",
        "authorized_official_middle_name": "ADEBAYO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-732-0248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FCCP"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101052627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lavonne D McLendon, LPC
• Angela Aikens McMichael, PHARM.D.
• Zebrina Meade
• Med-Trans Corporation
• Medarva Physician Services LLC
• Michelle Luebehusen Mehfoud, MSPT
• Cassandra Merrick, LPC
• Metro Gardens Enterprises, Inc
• Michael W Lane MD PC
• Midlothian Rehabilitation Associates PLLC

• All providers in Petersburg, VA
• Pulmonary Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2009; 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.