| Dagogo Opusunju, | |
|
8929 White Oak Dr, Canal Winchester, OH 43110-8028 | |
| (614) 920-3668 | |
| Not Available |
| Full Name | Dagogo Opusunju |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 8929 White Oak Dr, Canal Winchester, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720242811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WH0200X | Registered Nurse - Home Health | RN 309864 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 16450 (Ohio) | Primary |
| Entity Name | City Of Columbus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285874339 PECOS PAC ID: 0446164156 Enrollment ID: O20040109001010 |
| Entity Name | Wellbe Senior Medical Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497308456 PECOS PAC ID: 7719319896 Enrollment ID: O20191111001502 |
| Mailing Address | Practice Location Address |
|---|---|
| Dagogo Opusunju, 8929 White Oak Dr, Canal Winchester, OH 43110-8028 Ph: (614) 920-3668 | Dagogo Opusunju, 8929 White Oak Dr, Canal Winchester, OH 43110-8028 Ph: (614) 920-3668 |
Ms. Anta Fall Sow, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6631 Bricegrove Blvd, Canal Winchester, OH 43110 Phone: 614-307-0368 | |
Mrs. Marina Eller, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3620 Gender Rd, Canal Winchester, OH 43110 Phone: 148-293-0156 | |
Mrs. Traci Mari Conroy, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7884 Mountain Ash Ln, Canal Winchester, OH 43110 Phone: 614-439-4095 | |
Kari Rene Davidson, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7901 Diley Rd Ste 260, Canal Winchester, OH 43110 Phone: 614-920-1000 | |
Marisa Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3620 Gender Rd, Canal Winchester, OH 43110 Phone: 614-829-3015 | |
Lauren Elizabeth Parsley, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6095 Gender Rd, Canal Winchester, OH 43110 Phone: 614-417-5196 | |
Sakura Jessica Sip, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6095 Gender Rd, Canal Winchester, OH 43110 Phone: 614-417-5196 Fax: 614-417-5197 |