Active NPI
Olubukola A Ogunkua, MD, MPH, MHS, LPC
- Professional Counselor
- Plymouth Meeting, PA
National Provider Identifier
1477144087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007564
- Practice address
- 1030 Thomas Rd Ste 100
Plymouth Meeting, PA 19462-2857 - Phone
- (267) 608-7548
- NPI assigned
- Jan 27, 2021
- Last updated
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC007564 | PA | Primary |
Addresses
Primary practice location
1030 Thomas Rd Ste 100
Plymouth Meeting, PA 19462-2857
Mailing address
1030 Thomas Rd Ste 100
Plymouth Meeting, PA 19462-2857
Phone (267) 608-7548
Other names 1
- Dr. Bukola A Ogunkua
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.suberbancares.com/wpadmin/ | Direct |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC007564 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1477144087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 THOMAS RD STE 100",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622857",
"telephone_number": "267-608-7548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 THOMAS RD STE 100",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622857",
"telephone_number": "267-608-7548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNKUA",
"first_name": "OLUBUKOLA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD, MPH, MHS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007564",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.suberbancares.com/wpadmin/",
"affiliation": "N",
"endpointDescription": "Admin",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1030 Thomas Rd Ste 100",
"city": "Plymouth Meeting",
"state": "PA",
"country_code": "US",
"postal_code": "194622857",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BUKOLA",
"last_name": "OGUNKUA",
"middle_name": "A",
"prefix": "DR.",
"credential": "MD, MPH, MHS, LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.