| Oluyemisi Jokotade Fatunde, MD | |
|
1400 S Coulter St, Amarillo, TX 79106-1786 | |
| (806) 414-9800 | |
| (806) 354-5689 |
| Full Name | Oluyemisi Jokotade Fatunde |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1400 S Coulter St, Amarillo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457359663 | NPI | - | NPPES |
| 00C512420 | Medicaid | CA | |
| 187039601 | Medicaid | TX | |
| 187039602 | Other | TX | CSHCN |
| 55354751 | Medicaid | NM | |
| 200133280 A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | C51242 (California) | Secondary |
| 208000000X | Pediatrics | FTL 42897 (Texas) | Secondary |
| 208000000X | Pediatrics | N6289 (Texas) | Primary |
| Entity Name | Dhhs Phs Naihs Shiprock Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
| Entity Name | Choctaw Nation Of Oklahoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Oluyemisi Jokotade Fatunde, MD 1400 Wallace Blvd, Amarillo, TX 79106-1708 Ph: (806) 414-9800 | Oluyemisi Jokotade Fatunde, MD 1400 S Coulter St, Amarillo, TX 79106-1786 Ph: (806) 414-9800 |
Mrs. Cynthia Milagros Correa-colon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6010 W Amarillo Blvd, Amarillo, TX 79106 Phone: 806-355-9703 | |
Dr. Kinsley Ann Stepka, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St Ste 1500, Amarillo, TX 79106 Phone: 806-414-9800 | |
Muhammad Asif Qureshi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-354-5630 Fax: 806-354-5568 | |
Shu Shum, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1801 Halstead St, Amarillo, TX 79106 Phone: 806-358-8526 Fax: 806-358-0179 | |
Robin Elaine Martinez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6305 Sunlake Dr, Amarillo, TX 79124 Phone: 806-352-1020 | |
Jason Nirgiotis, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-414-9800 Fax: 806-354-5689 | |
Dr. Debbie Pamela Hoving, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1901 Medi Park Dr Ste 200, Amarillo, TX 79106 Phone: 806-468-4350 Fax: 806-468-4351 |