Individual provider Active NPI

Isaac Ayo Oyewale

  • Licensed Practical Nurse
  • Cincinnati, OH
National Provider Identifier
1417255803
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN129409IV Issued in OH
Practice address
5018 Grafton Ave
Cincinnati, OH 45237-6030
Phone
(513) 910-7983
NPI assigned
Mar 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN129409IV OH Primary

Addresses

Primary practice location

5018 Grafton Ave
Cincinnati, OH 45237-6030

Mailing address

5018 Grafton Avenue
Cincinnati, OH 45237
Phone (513) 910-7983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN129409IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1417255803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 GRAFTON AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45237",
            "telephone_number": "513-910-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 GRAFTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376030",
            "telephone_number": "513-910-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEWALE",
        "first_name": "ISAAC",
        "middle_name": "AYO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN129409IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.