NPIMap

Organization Active NPI

Emmanuel O Soyoola MD PC

  • Obstetrics & Gynecology Physician
  • Lawrenceville, GA
National Provider Identifier
1336374313
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
53032 Issued in GA
Legal business name
EMMANUEL O SOYOOLA MD PC
Doing business as
Olan Comprehensive Healthcare
Practice address
2169 Lawrenceville Hwy
Lawrenceville, GA 30044-7710
Phone
(770) 962-3700
Fax
(770) 962-8063
NPI assigned
May 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Emmanuel Soyoola, M.D,PHD.,F.A.C.O.G.NPI 1497771034
Title
Physician/Owner
Phone
(770) 962-3700

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 53032 GA
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 53032 GA Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 53032 GA

Addresses

Primary practice location

2169 Lawrenceville Hwy
Lawrenceville, GA 30044-7710

Mailing address

2169 Lawrenceville Hwy
Lawrenceville, GA 30044-7710
Phone (770) 962-3700

Other identifiers 1

IdentifierTypeStateIssuer
413053267AMedicaidGA

Other names 1

  • Olan Comprehensive Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

601 Professional Dr
Ste 360
Lawrenceville, GA 30046
Phone (770) 962-3700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1336374313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 LAWRENCEVILLE HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447710",
            "telephone_number": "770-962-3700",
            "fax_number": "770-962-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 LAWRENCEVILLE HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447710",
            "telephone_number": "770-962-3700",
            "fax_number": "770-962-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL O SOYOOLA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "SOYOOLA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "770-962-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,PHD.,F.A.C.O.G."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "53032",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "53032",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "53032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413053267A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olan Comprehensive Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.