Active NPI
Kunle Ojemakinde, MD
- Anatomic Pathology & Clinical Pathology Physician
- Leesville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD.206190
- Practice address
- 1112 Port Arthur Ter
Department of Pathology
Leesville, LA 71446-4656 - Phone
- (337) 238-9133
- Fax
- (337) 238-5311
- NPI assigned
- May 4, 2010
- Last updated
- Jul 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD.206190 | LA | Primary |
Addresses
Primary practice location
1112 Port Arthur Ter
Department of Pathology
Leesville, LA 71446-4656
Mailing address
1112 Port Arthur Ter
Department of Pathology
Leesville, LA 71446-4656
Phone (337) 238-9133
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 Fertitta Blvd
Leesville, LA 71446-4645
1020 W Fertita Blvd
Leesville, LA 71446-4645
Phone (337) 239-9041
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glen D. Hurlston, M.D., Apmc | Current | Accepting new patients | |
| Byrd Medical Clinic Inc | Current | Accepting new patients | |
| GPN-Leesville, LLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278
1112 Port Arthur Ter
Leesville, LA 71446
Phone (337) 238-3005
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Leesville, LA
- NPI 1306913488
-
- Family Medicine Physician
- Leesville, LA
- NPI 1801895495
-
- Hospitalist Physician
- Leesville, LA
- NPI 1013494186
Anatomic Pathology & Clinical Pathology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Zwolle, LA
- NPI 1497219257
-
dba Sabine Medical Center
- General Acute Care Hospital
- Many, LA
- NPI 1568626273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1942527775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 PORT ARTHUR TER",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464656",
"telephone_number": "337-238-9133",
"fax_number": "337-238-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 PORT ARTHUR TER",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464656",
"telephone_number": "337-238-9133",
"fax_number": "337-238-5311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJEMAKINDE",
"first_name": "KUNLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-04",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "LA",
"license": "MD.206190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.