Eniola Ayoola, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9104349 Issued in FL

Practice address

10250 SE 167TH Place Rd Unit 5
Summerfield, FL 34491-8682

Phone

(352) 307-9925

Fax

(352) 307-8442

NPI assigned

Dec 9, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vizavee Urgent and Primary Care, LLCGroup PAC ID 1557764784, 15 clinicians

Suntree Internal Medicine, Inc.Group PAC ID 1951378694, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Suntree Internal Medicine, LLC.

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1700947884
  Medicare reassignment Care Compare group NPD
• Vizavee Urgent & Primary Care, LLC

  • Family Medicine Physician
  • Wildwood, FL
  • NPI 1821665886
  Medicare reassignment Care Compare group
• Suntree Endocrinology

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1679072375
  NPD
• Diana L. Elias, M.D., P.a.

  • Plastic Surgery Physician
  • St Petersburg, FL
  • NPI 1003187238
  NPD (past)
• North Florida Acute Care Specialists LLC

  dba Nfacs LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1245489038
  NPD (past)
• North Florida Gastroenterology LLC

  • Gastroenterology Physician
  • Orange Park, FL
  • NPI 1275725343
  NPD (past)
• Raypar Inc

  dba Trinity Medical Center

  • Family Medicine Physician
  • Winter Haven, FL
  • NPI 1356374466
  NPD (past)
• VMD Primary Providers Central Florida PLLC

  • Family Medicine Physician
  • Clermont, FL
  • NPI 1780342618
  NPD (past)

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

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972786358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD UNIT 5",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-307-9925",
            "fax_number": "352-307-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD UNIT 5",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-307-9925",
            "fax_number": "352-307-8442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Pope Ave NW",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814679",
            "country_code": "US",
            "telephone_number": "863-299-2630",
            "fax_number": "863-969-0711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18550 US Highway 441",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327576751",
            "country_code": "US",
            "telephone_number": "352-735-3755",
            "fax_number": "352-735-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Old Camp Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625605",
            "country_code": "US",
            "telephone_number": "352-775-4868",
            "fax_number": "352-775-4867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYOOLA",
        "first_name": "ENIOLA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9104349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001558000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashoka Healthcare, LLC
• Associated Optometrists of Overholser & Overholser OD PA
• Ma Thuzar Aung, M.D.
• Austin J. Rehm DC L.L.C.
• Avecina Medical, PA
• Carla Renee Bailey, PA-C
• Catherine Baitinger, DMD
• Mary F Barber, M.D.
• Leon Martin Bard, P.A.C.
• Kenneth P Barnes, M.D.

• Surgical Physician Assistant in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.