NPIMap

Organization Active NPI

Hope Emergency Room PLLC

  • Emergency Care Clinic/Center
  • Lufkin, TX
National Provider Identifier
1609388164
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
160339 Issued in TX
Legal business name
HOPE EMERGENCY ROOM PLLC
Practice address
2111 E Denman Ave
Lufkin, TX 75901-6243
Phone
(936) 899-7243
Fax
(936) 899-7245
NPI assigned
Oct 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Dr. Olufemi T Oladele-Ajose, MDNPI 1205808318
Title
Manager
Phone
(936) 899-7243

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 160339 TX Primary

Addresses

Primary practice location

2111 E Denman Ave
Lufkin, TX 75901-6243

Mailing address

2111 E Denman Ave
Lufkin, TX 75901-6243
Phone (319) 850-0874

Medicare participation

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609388164. Details of each certification follow.

Hospital certification: CCN 670226

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HOPE EMERGENCY
Certification status
Terminated Voluntary: merger or closure, May 11, 2023
Provider type (POS)
Hospital – Short-term
Participating since
May 8, 2020
Last certification
May 8, 2020
Beds
1
Ownership / control type
Private (not for profit)
Facility address
2111 E Denman Ave
Lufkin, TX 75901

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1609388164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E DENMAN AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016243",
            "telephone_number": "319-850-0874",
            "fax_number": "936-899-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E DENMAN AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016243",
            "telephone_number": "936-899-7243",
            "fax_number": "936-899-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE EMERGENCY ROOM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "OLADELE-AJOSE",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "936-899-7243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.