OLUSOLA ODUNTAN MD – NPI #1174592125
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

OLUSOLA ODUNTAN is a thoracic surgeon located in MORGANTOWN, WV. NPPES has assigned the NPI number 1174592125 to OLUSOLA ODUNTAN on March 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was previously updated about 12 years ago on Feb 19, 2014. 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 OLUSOLA ODUNTAN below.

NPI Profile for
OLUSOLA ODUNTAN

NPI Number
1174592125
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
OLUSOLA ODUNTAN
Credentials
MD
Primary location
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Phone: (304) 293-4180 Fax: (304) 293-5845
Mailing address
PO BOX 780
MORGANTOWN, WV 26507-0780
Phone: (304) 285-7101 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
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)		 MA 224064
208600000X
- Surgery		 MA 224064

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.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
OLUSOLA ODUNTAN is affiliated with the following medical group(s):
  • HOSPITAL
    • UF HEALTH SHANDS HOSPITAL
      1600 SW ARCHER RD
      GAINESVILLE, FL 32610

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