Olutosin Adeeso

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0065283 Issued in TX

Legal business name

OLUTOSIN ADEESO

Practice address

13999 Goldmark Dr
Suite 401
Dallas, TX 75240-4234

Phone

(972) 664-1300

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Olutosin Johnson Adeeso

Title

Owner

Phone

(972) 664-1300

Specialties & licenses 1

Addresses

Other names 1

• JOBERN MEDICAL SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Caroline O Adeeso

  • Case Manager/Care Coordinator
  • McKinney, TX
  • NPI 1659695534
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213401600000",
    "number": "1366585705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 SHELDON DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702443",
            "telephone_number": "972-664-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13999 GOLDMARK DR",
            "address_2": "SUITE 401",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404234",
            "telephone_number": "972-664-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUTOSIN ADEESO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-06-14",
        "status": "A",
        "authorized_official_last_name": "ADEESO",
        "authorized_official_first_name": "OLUTOSIN",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-664-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0065283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOBERN MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Babajide Oluleye, MD
• Bisola Olumegbon
• Chioma Jennifer Olunkwa, AGACNP
• Abidemi Olusanya, PSYCH-NP
• Oladele O Olusanya, MD
• Maria Olveda, MS, CCC-SLP
• Irvin Eduardo Olvera Alvarez, PHARMD
• Olvera Anesthesia and Pain Management Inc
• Jonathan Olvera, MA
• Om Premium LLC

• All providers in Dallas, TX
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.