Taiwo Adeogun, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5000096 Issued in DE

Practice address

594 Hollins CT
#105
Newport News, VA 23608-1755

Phone

(310) 755-5301

NPI assigned

Dec 16, 2009

Last updated

Dec 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Castle Health Care Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
  • NPI 1437474343
  Medicare reassignment
• Anavota Behavioral Health PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cypress, TX
  • NPI 1639817513
  NPD

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1679802938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 HOLLINS CT",
            "address_2": "#105",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236081755",
            "telephone_number": "310-755-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 HOLLINS CT",
            "address_2": "#105",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236081755",
            "telephone_number": "310-755-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEOGUN",
        "first_name": "TAIWO",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5000096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori N Adams, PTA
• Rachael Piper Adams, AUD
• Drew Adamson
• Jasmin Adamson, PHARMD
• Teresa Abiola Adenaike
• Brandy Adkins, LMT
• Colby Charles Adkins, RN
• Elizabeth Adkins, BS
• Michael G Adugna, M.D.
• Vera Adutwumwaah

• Physician Assistant in Newport News, VA
• Providers in Newport News, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.