Omiyosoye Ololade, MD | |
221 Us Highway 41 Ste I, Schererville, IN 46375-1278 | |
(219) 864-3950 | |
(219) 864-3952 |
Full Name | Omiyosoye Ololade |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 221 Us Highway 41 Ste I, Schererville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144235557 | NPI | - | NPPES |
200870920 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036120689 (Illinois) | Primary |
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Omiyosoye Ololade, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Omiyosoye Ololade, MD 221 Us Highway 41 Ste I, Schererville, IN 46375-1278 Ph: (219) 864-3950 |
Timothy J Patrick-miller, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 221 Us Highway 41, Suite 1, Schererville, IN 46375 Phone: 219-864-3950 Fax: 219-864-3952 | |
Dr. Susan Ramirez, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 Eagle Ridge Drive, Suite 201, Schererville, IN 46375 Phone: 219-237-2079 Fax: 219-595-5377 |