MODUPE A. OMOLE MD – NPI #1679800387
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

MODUPE OMOLE is a physician located in ONALASKA, WI. NPPES has assigned the NPI number 1679800387 to MODUPE OMOLE on November 17, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 7 years ago on May 16, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MODUPE OMOLE below.

NPI Profile for
MODUPE A. OMOLE

NPI Number
1679800387
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MODUPE A. OMOLE
Credentials
MD
Primary location
191 THEATER RD
ONALASKA, WI 54650
Phone: (608) 785-0940 Fax:
1 Other location(s):
800 West Avenue S.
La Crosse, WI 54601-8806
Phone: (608) 392-9866
Mailing address
PO BOX 1510
EAU CLAIRE, WI 54702-1510
Phone: (608) 785-0940 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
PA MT191922

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.