Active NPI
Oladoyin Isiaka, PA-C, RRT
- Physician Assistant
- Dallas, TX
National Provider Identifier
1962508952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 03608
- Practice address
- 5200 Harry Hines Blvd
Dallas, TX 75235-7709 - Phone
- (214) 590-8000
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 70097 | TX | |
| Physician Assistant | 363A00000X | 03608 | TX | Primary |
Addresses
Primary practice location
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Mailing address
8128 Royal Terrace LN
Fort Worth, TX 76120-5074
Phone (254) 855-4188
Other names 1
- Oladoyin Ogunbadejo
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03608 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1962508952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8128 ROYAL TERRACE LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761205074",
"telephone_number": "254-855-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357709",
"telephone_number": "214-590-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISIAKA",
"first_name": "OLADOYIN",
"credential": "PA-C, RRT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "TX",
"license": "70097",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "03608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLADOYIN",
"last_name": "OGUNBADEJO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.