Mayor Abumere Okoloise, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

180 Sanders Rd
Apt 7
Buffalo, NY 14216-1321

Phone

(832) 978-0801

NPI assigned

Sep 10, 2009

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 LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Herbert Ichinose, MD Apmc

  • Pathology Specialist/Technologist
  • Slidell, LA
  • NPI 1720212392
  NPD (past)

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1770816613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SANDERS RD",
            "address_2": "APT 7",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161321",
            "telephone_number": "832-978-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SANDERS RD",
            "address_2": "APT 7",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161321",
            "telephone_number": "832-978-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOLOISE",
        "first_name": "MAYOR",
        "middle_name": "ABUMERE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saburo Okazaki, M.D.
• Kehinde Oke, PA
• Mariah Okenwa, MA
• Phoebe Vertia Okereke, LPN
• Deborah Okin, PH.D.
• Oluwadahunsi Okunlola
• Courtney Lynn Olbrich, MD
• Annemarie Titus Olczak, C.O.T.A.
• Molli Megan Oldenburg, NP
• Quashawn Olds

• Student in an Organized Health Care Education/Training Program in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.