Olusoji Oyesanya, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30809 Issued in WI

Practice address

6001 W Center St
Suite 102
Milwaukee, WI 53210-2154

Phone

(414) 444-4484

Fax

(414) 444-4838

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Alpha Medical Clinic SC

  • Primary Care Clinic/Center
  • Milwaukee, WI
  • NPI 1134228133
  NPD (past) Authorized official
• Wisconsin Community Mental Health Counseling Centers, Inc

  • Mental Health Counselor
  • Mequon, WI
  • NPI 1558440552
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1730132341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 W CENTER ST",
            "address_2": "SUITE 102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102154",
            "telephone_number": "414-444-4484",
            "fax_number": "414-444-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 W CENTER ST",
            "address_2": "SUITE 102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102154",
            "telephone_number": "414-444-4484",
            "fax_number": "414-444-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYESANYA",
        "first_name": "OLUSOJI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "30809",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "30809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31592300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laresa Alexis Shanae Owens, CNA, CBRF
• Pamela Yvette Owens
• Robin Loraine Owens, REGISTERED NURSE-RN
• Sherrell Owens, LPN
• Carolyn J Oxencis, PHARMD
• Temi Oyesanya
• Emre Can Ozcekirdek, MD
• Mukoso Nwamaka Ozieh, MBBS
• Obiajulu Ada Ozumba, DO
• Allysa Ozzello, NP

• Family Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.