Olufisayo Arubuola M D P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME87521 Issued in FL

Legal business name

OLUFISAYO ARUBUOLA M D P A

Practice address

800 Prudential Dr
Jacksonville, FL 32207-8202

Phone

(904) 881-1242

Fax

(904) 538-9433

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Olufisayo E Arubuola, MDNPI 1255398806

Title

President

Phone

(904) 881-1242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olufisayo E Arubuola, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1255398806
  Medicare reassignment NPD Authorized official
• Hale E Hedley, MD

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1669406260
  Medicare reassignment NPD

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1710170113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16574",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322456574",
            "telephone_number": "904-881-1242",
            "fax_number": "904-538-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRUDENTIAL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078202",
            "telephone_number": "904-881-1242",
            "fax_number": "904-538-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUFISAYO ARUBUOLA M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "ARUBUOLA",
        "authorized_official_first_name": "OLUFISAYO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-881-1242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME87521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Olson, AUD
• Matthew Erling Olson, CRNA
• Matthew T Olson
• Michael Ray Olson, M.D., PH.D.
• Olufunke Olubayo-Alana, FNP-BC
• Antionette L Olukunle
• Jeremiah Tobi Oluwadamisi, M.D.
• Valeria Olvera
• Eamon Terence Olwell, MD
• Om Shri Ganesh LLC

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.