Active NPI
Adetunji Hakeem Oshun, PA-C
- Physician Assistant
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA08317
- Practice address
- 916 W 6TH St
Irving, TX 75060-3874 - Phone
- (972) 975-5455
- Fax
- (469) 666-9422
- NPI assigned
- Jan 16, 2013
- Last updated
- May 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TX | ||
| Physician Assistant | 363A00000X | PA08317 | TX | Primary |
Addresses
Primary practice location
916 W 6TH St
Irving, TX 75060-3874
Mailing address
916 W 6TH St
Irving, TX 75060-3874
Phone (972) 975-5444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Callon Doc | Physician Assistant | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Inwood Medical Clinic Inc. | Past | Accepting new patients |
Locations
1401 21st St
Ste R
Sacramento, CA 95811
Phone (316) 516-2853
7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (615) 478-6748
8355 Walnut Hill Ln
Ste 200B
Dallas, TX 75231
Phone (480) 400-4889
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physician Assistant
- Dallas, TX
- NPI 1366162042
-
dba Community Medical Clinic
- Physician Assistant
- Irving, TX
- NPI 1942674296
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1265441620
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Family Medicine Physician
- Dallas, TX
- NPI 1679043723
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1336487925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 W 6TH ST",
"city": "IRVING",
"state": "TX",
"postal_code": "750603874",
"telephone_number": "972-975-5444",
"fax_number": "469-666-9422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 W 6TH ST",
"city": "IRVING",
"state": "TX",
"postal_code": "750603874",
"telephone_number": "972-975-5455",
"fax_number": "469-666-9422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSHUN",
"first_name": "ADETUNJI",
"middle_name": "HAKEEM",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-16",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA08317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.