Individual provider Active NPI

Olufemi Hundogan

  • Private Vehicle
  • Columbus, OH
National Provider Identifier
1699044396
Registry record updated Dec 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
2530710 Issued in OH
Practice address
1311 Harpers Grove CT
Columbus, OH 43223-2860
Phone
(614) 843-8161
NPI assigned
Dec 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X 2530710 OH Primary

Addresses

Primary practice location

1311 Harpers Grove CT
Columbus, OH 43223-2860

Mailing address

1311 Harpers Grove CT
Columbus, OH 43223-2860
Phone (614) 843-8161

Other identifiers 1

IdentifierTypeStateIssuer
2651885MedicaidOH

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2530710OHMDPrivate Vehicle

NPI Registry JSON

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324857600000",
    "number": "1699044396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 HARPERS GROVE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432232860",
            "telephone_number": "614-843-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 HARPERS GROVE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432232860",
            "telephone_number": "614-843-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDOGAN",
        "first_name": "OLUFEMI",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-26",
        "last_updated": "2011-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "2530710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2651885",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2011; 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.