Active NPI
Ezekiel Aderemi Osuntogun, MD
- Obstetrics & Gynecology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME106194
- Practice address
- 13601 Bruce B Downs Blvd
Suit 121
Tampa, FL 33613-4657 - Phone
- (813) 454-1113
- Fax
- (813) 454-1114
- NPI assigned
- Jun 12, 2008
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | ME106194 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | ME106194 | FL | Primary |
Addresses
Primary practice location
13601 Bruce B Downs Blvd
Suit 121
Tampa, FL 33613-4657
Mailing address
PO Box 46577
Tampa, FL 33646-0105
Phone (813) 727-2650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME106194 | FL | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Women'S Care Florida LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| DHP of Manatee PA | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Florida Hospital Physician Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Womens' Health Hospitalists, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Hospitalist OB GYN LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Anil M Bhatia MD PA | Past | Accepting new patients |
Locations
401 Oakfield Dr
Brandon, FL 33511
Phone (813) 467-4725
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873
1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401
1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
13601 Bruce B Downs Blvd
Ste 121
Tampa, FL 33613
Phone (813) 977-2090
Organizations & group practices 9
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.
-
- Obstetrics & Gynecology Physician
- Mangonia Park, FL
- NPI 1134771611
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
- Obstetrics & Gynecology Physician
- Melbourne, FL
- NPI 1245472661
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1376938415
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1881833424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1386804334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 46577",
"city": "TAMPA",
"state": "FL",
"postal_code": "336460105",
"telephone_number": "813-727-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13601 BRUCE B DOWNS BLVD",
"address_2": "SUIT 121",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134657",
"telephone_number": "813-454-1113",
"fax_number": "813-454-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSUNTOGUN",
"first_name": "EZEKIEL",
"middle_name": "ADEREMI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-12",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "FL",
"license": "ME106194",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME106194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.