DR. OLASUMBO ELIZABETH FAGBENLE MD
NPI 1275285124
Family Medicine in Saint Louis, MO

NPI Status: Active since January 21, 2022

Contact Information

3015 N BALLAS RD
SAINT LOUIS, MO
ZIP 63131
Phone: (954) 477-0101

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  • Individual
  • Female
  • Family Medicine

About OLASUMBO FAGBENLE

This page provides the complete NPI Profile along with additional information for Olasumbo Fagbenle, a primary care provider established in Saint Louis, Missouri with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1275285124 assigned on January 2022. The practitioner's primary taxonomy code is 207Q00000X with license number 2021047578 (MO). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1275285124
Provider Name
DR. OLASUMBO ELIZABETH FAGBENLE MD
Gender
Female
Entity Type
Individual
Location Address
3015 N BALLAS RD SAINT LOUIS, MO 63131
Location Phone
(954) 477-0101
Mailing Address
1602 ENCLAVE PKWY APT 1708 HOUSTON, TX 77077
Mailing Phone
(954) 477-0101
Is Sole Proprietor?
Yes
Enumeration Date
01-21-2022
Last Update Date
01-21-2022
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A primary care provider (PCP) like Olasumbo Fagbenle sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
2021047578
License State
MO
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

2021047578 (MO)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2021047578MEDICAID (05)MO 

Reviews for DR. OLASUMBO ELIZABETH FAGBENLE MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275285124
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145481014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 4 + 8 + 1 + 0 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1275285124 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861497604 ALLEN D BAUDENDISTEL M.D.
Individual
Anesthesiology3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330
1194721670 CHRIS T FELLING M.D
Individual
Anesthesiology3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330
1003812512 PAUL S PATANE M.D.
Individual
Anesthesiology3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330
1427054931 JOSEPH P SLIMACK MD
Individual
Anesthesiology3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330
1043216278 MADHAV B VINJAMURI M.D.
Individual
Anesthesiology3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330
1215933361 JAMES A KING M.D.
Individual
Anesthesiology3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330
1972575348 BRENDA HARBERT CRNA
Individual
Nurse Anesthetist, Certified Registered3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330
1083686885 KATHLEEN HOLLOWOOD CRNA
Individual
Nurse Anesthetist, Certified Registered3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330
1366417552 TODD PARKER PA-C
Individual
Physician Assistant (Medical)3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5000
1669447496 JOSEPH N MARCUS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3015 N BALLAS RD DEPARTMENT OF PATHOLOGY
SAINT LOUIS, MO 63131
(314) 996-4285
1568438398 CHARLES D SHORT MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3015 N BALLAS RD DEPARTMENT OF PATHOLOGY
SAINT LOUIS, MO 63131
(314) 996-4285
1013982842 VIRGILIO P DUMADAG MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3015 N BALLAS RD DEPARTMENT OF PATHOLOGY
SAINT LOUIS, MO 63131
(314) 996-4285
1902871734 CHARLES W FERRIS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3015 N BALLAS RD DEPARTMENT OF PATHOLOGY
SAINT LOUIS, MO 63131
(314) 996-4285
1659329613 CHARLES ORTWERTH CRNA
Individual
Nurse Anesthetist, Certified Registered3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330
1780632547 JAN MICOTTO CRNA
Individual
Nurse Anesthetist, Certified Registered3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330
1679521447 LINDA PINEDA CRNA
Individual
Nurse Anesthetist, Certified Registered3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330
1427006766 SYLVIA J PARKER CRNA
Individual
Nurse Anesthetist, Certified Registered3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330
1255389540 TERESA TARRASCH CRNA
Individual
Nurse Anesthetist, Certified Registered3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330
1790733350 JAMES TEVLIN CRNA
Individual
Nurse Anesthetist, Certified Registered3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330
1396793881 DOROTHY FRYER M.D.
Individual
Anesthesiology3015 N BALLAS RD
SAINT LOUIS, MO 63131
(314) 996-5330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275285124, enumerated in the NPI registry as an "individual" on January 21, 2022

The provider is located at 3015 N Ballas Rd Saint Louis, Mo 63131 and the phone number is (954) 477-0101

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 21, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.