| Dr Oluseyi Fadegbola Ogundimu, MD | |
|
661 Fisher Dr, Sullivan, MO 63080-1533 | |
| (573) 860-3000 | |
| (573) 860-3004 |
| Full Name | Dr Oluseyi Fadegbola Ogundimu |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 17 Years |
| Location | 661 Fisher Dr, Sullivan, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700016250 | NPI | - | NPPES |
| 1700016250 | Medicaid | MO |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christ Hospital | Cincinnati, OH | Hospital |
| Mercy Health - Fairfield Hospital | Fairfield, OH | Hospital |
| The Jewish Hospital-mercy Health | Cincinnati, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Management Associates Llc | 1456254812 | 11 |
| Sandusky Anesthesia Llc | 3274895271 | 109 |
| Anesthesia Associates Of Cincinnati, Inc | 4789598509 | 120 |
| Southwest Ohio Anesthesia Consultants Llc | 6901700640 | 331 |
| Entity Name | Anesthesia Associates Of Cincinnati, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316945173 PECOS PAC ID: 4789598509 Enrollment ID: O20031117000374 |
| Entity Name | Southwest Ohio Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
| Entity Name | Pain Management Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699775536 PECOS PAC ID: 1456254812 Enrollment ID: O20040202000116 |
| Entity Name | Sandusky Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
| Entity Name | Phs Anesthesia Billing, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578361044 PECOS PAC ID: 2264958412 Enrollment ID: O20250430001737 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Oluseyi Fadegbola Ogundimu, MD 190 Industrial Dr, Festus, MO 63028-4133 Ph: (636) 777-2245 | Dr Oluseyi Fadegbola Ogundimu, MD 661 Fisher Dr, Sullivan, MO 63080-1533 Ph: (573) 860-3000 |