Olabisi A Jagun, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD16916 Issued in DC

Practice address

12600 Hill Creek LN
Potomac, MD 20854-1184

Phone

(240) 401-5953

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ojagun@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Davis Memorial Hospital

  • General Acute Care Hospital
  • Elkins, WV
  • NPI 1619964806
  Medicare reassignment NPD
• West Virginia Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Morgantown, WV
  • NPI 1952776379
  Medicare reassignment NPD
• Davis Memorial Hospital

  • Community/Retail Pharmacy
  • Elkins, WV
  • NPI 1700663226
  NPD
• Emcare Physician Providers Inc.

  • Emergency Medicine Physician
  • Clintwood, VA
  • NPI 1891706008
  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine

  NPD (past)
• National Emergency Services District of Columbia Inc

  • Emergency Medicine Physician
  • Washington, DC
  • NPI 1588655963
  NPD (past)
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679522023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 HILL CREEK LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541184",
            "telephone_number": "240-401-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 HILL CREEK LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541184",
            "telephone_number": "240-401-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGUN",
        "first_name": "OLABISI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD16916",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101046802",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030100500",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007727",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679522023",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith M Hutt, LCSWC LICENSED CLINI
• Monica Hwang, D.D.S.
• Uchechi Anozie Iweala, M.D.
• Awele Izah, RPH
• Lisa Nicole Pfeffer Jager, M.D.
• Sharat K. Jain, PH.D.
• Bahar Javadi, M.A.,M.S.,LCPC
• Jeffrey E. Green
• John Milburn Jessup, M.D.
• Joan P Medway, P.a.

• Emergency Medicine Physician in Potomac, MD
• Providers in Potomac, MD by specialty
• Emergency Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.