Oluwabanji D Oduola

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

20635 Beeston Glade LN
Katy, TX 77449-2877

Phone

(630) 687-3084

NPI assigned

Nov 9, 2023

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

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.

• Pivot Shield

  • Secured Medical Transport (VAN)
  • Katy, TX
  • NPI 1629843958

  Non-Emergency Medical Transport (Van)

  NPD

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1174397285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20635 BEESTON GLADE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492877",
            "telephone_number": "630-687-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20635 BEESTON GLADE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492877",
            "telephone_number": "630-687-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUOLA",
        "first_name": "OLUWABANJI",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwatomi O Odewenwa
• Uzochukwu C Odili, M.D.
• Beatrice Akullu Odongkara
• Victor Ikechukwu Odu, PHARMD
• Adedolapo Odunaiya
• Odyssey Management Supplies LLC
• Njideka Offor
• Nnamdi Ofoeze, NP
• Uchenna Juliet Ofonedu
• Mark E Ogbac, CSFA

• Non-emergency Medical Transport (VAN) in Katy, TX
• Providers in Katy, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.