NPIMap

Organization Active NPI

Joint Heirs Pediatrics LLC

Doing business as Healthy Horizons Pediatrics

  • Pediatrics Physician
  • Kokomo, IN
National Provider Identifier
1164859880
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01062399 Issued in IN
Legal business name
JOINT HEIRS PEDIATRICS LLC
Doing business as
Healthy Horizons Pediatrics
Practice address
419 E Lincoln Rd
Kokomo, IN 46902-3716
Phone
(765) 864-2400
Fax
(765) 864-2401
NPI assigned
Sep 27, 2013
Last updated
Oct 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Dr. Abimbola Odukoya, MDNPI 1770683732
Title
Managing Physician
Phone
(646) 675-1263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 01062399 IN Primary

Addresses

Primary practice location

419 E Lincoln Rd
Kokomo, IN 46902-3716

Mailing address

419 E Lincoln Rd
Kokomo, IN 46902-3716
Phone (765) 864-2400

Other names 1

  • Healthy Horizons Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2066792Healthy Horizons Pediatrics419 E Lincoln Rd, Kokomo, IN 46902Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory

Locations

419 E Lincoln Rd
Kokomo, IN 46902
Phone (765) 864-2400

930 Mezzanine Dr
Lafayette, IN 47905
Phone (765) 607-6160

3741 Rome Dr
#B
Lafayette, IN 47905
Phone (765) 607-6160

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1164859880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023716",
            "telephone_number": "765-864-2400",
            "fax_number": "765-864-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 E LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023716",
            "telephone_number": "765-864-2400",
            "fax_number": "765-864-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT HEIRS PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "ODUKOYA",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "646-675-1263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01062399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Horizons Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.