Patience O. Adesida M.D. LTD.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

036075310 Issued in IL

Legal business name

PATIENCE O. ADESIDA M.D. LTD.

Practice address

2008 N Market St
Champaign, IL 61822-1308

Phone

(217) 239-6667

Fax

(217) 239-6670

NPI assigned

Apr 1, 2008

Last updated

Jul 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patience Okpaku Adesida, M.D.NPI 1548377559

Title

Physician/President.

Phone

(217) 239-6667

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patience Okpaku Adesida, MD

  • Obstetrics & Gynecology Physician
  • Champaign, IL
  • NPI 1548377559
  Authorized official Same address or phone

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1609048495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 N MARKET ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221308",
            "telephone_number": "217-239-6667",
            "fax_number": "217-239-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 N MARKET ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221308",
            "telephone_number": "217-239-6667",
            "fax_number": "217-239-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENCE O. ADESIDA M.D. LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "ADESIDA",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_middle_name": "OKPAKU",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT.",
        "authorized_official_telephone_number": "217-239-6667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036075310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075310",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parin Patel, DO
• Riya Patel, RBT
• Vishal Anil Patel, M.D.
• Zil Dhavalkumar Patel
• Path Learning Specialists LLC
• Sachin Patil, MD
• Nikkole Patterson, D.D.S.
• Angela L Patton, LPC
• Paul S. Sahni, D.M.D., M.S.D., P.C.
• Pavilion Foundation

• Medical Specialty Clinic/Center in Champaign, IL
• Providers in Champaign, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.