NPIMap

Organization Active NPI

Olusegun Oseni PA

  • Pulmonary Disease Physician
  • Weatherford, TX
National Provider Identifier
1487971024
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
L9836 Issued in TX
Legal business name
OLUSEGUN OSENI PA
Practice address
1200 Clear Lake Rd
Ste 101
Weatherford, TX 76086-5891
Phone
(817) 594-9993
Fax
(817) 594-9915
NPI assigned
Apr 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Dr. Olusegun A Oseni, MDNPI 1982699005
Title
Medical Director
Phone
(817) 594-9993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X L9836 TX
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X L9836 TX
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X L9836 TX Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X L9836 TX

Addresses

Primary practice location

1200 Clear Lake Rd
Ste 101
Weatherford, TX 76086-5891

Mailing address

1200 Clear Lake Rd
Weatherford, TX 76086-5802
Phone (817) 594-9993

Other identifiers 1

IdentifierTypeStateIssuer
1487971024OtherGROUP NPI

Other names 1

  • Lung and Sleep Specialists of North Texas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100721000108 TX Part B Supplier - Clinic/Group Practice 7012049406 Receives reassigned benefits from 7 practitioners
Practice locations: Weatherford, TX

National Provider Directory

National Provider Directory

Locations

925 Santa Fe Dr
Ste 108
Weatherford, TX 76086
Phone (817) 594-4334

1200 Clear Lake Rd
Weatherford, TX 76086
Phone (817) 594-9993

1200 Clear Lake Rd
Ste 101
Weatherford, TX 76086
Phone (817) 594-9993

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1487971024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CLEAR LAKE RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865802",
            "telephone_number": "817-594-9993",
            "fax_number": "817-594-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CLEAR LAKE RD",
            "address_2": "STE 101",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865891",
            "telephone_number": "817-594-9993",
            "fax_number": "817-594-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUSEGUN OSENI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "OSENI",
        "authorized_official_first_name": "OLUSEGUN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-594-9993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L9836",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "L9836",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "L9836",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "L9836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1487971024",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lung and Sleep Specialists of North Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lung and Sleep Specialists of North Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.