Active NPI
Babalola Olusola Oluwole, MD
- Preventive Medicine/Occupational Environmental Medicine Physician
- Lewisville, TX
National Provider Identifier
1710033386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 74212
- Practice address
- 1010 S Edmonds LN
Lewisville, TX 75067-4418 - Phone
- (972) 829-0098
- Fax
- (972) 436-0145
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 74212 | FL | Primary |
| General Practice Physician | 208D00000X | 74212 | FL |
Addresses
Primary practice location
1010 S Edmonds LN
Lewisville, TX 75067-4418
Mailing address
18207 Sweet Jasmine Dr
Tampa, FL 33647-2863
Phone (813) 300-4035
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74212 | FL | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1710033386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18207 SWEET JASMINE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472863",
"telephone_number": "813-300-4035",
"fax_number": "877-860-6213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S EDMONDS LN",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750674418",
"telephone_number": "972-829-0098",
"fax_number": "972-436-0145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUWOLE",
"first_name": "BABALOLA",
"middle_name": "OLUSOLA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "FL",
"license": "74212",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "74212",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.