DR. ADEWUMI BAKARE DMS PA NPI 1194961904

NPI Information

NPI: 1194961904
Provider Name: DR. ADEWUMI BAKARE, DMS, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
5115 N GALLOWAY AVE STE 203
MESQUITE, TX
ZIP 75150
Phone: (214) 660-8554
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DR. Adewumi Bakare, DMS, PA is a medical physician assistant in Mesquite, TX with 7 years of experience. DR. Adewumi Bakare, DMS, PA NPI is 1194961904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5115 N GALLOWAY AVE STE 203
MESQUITE, TX
ZIP 75150-535
Phone: (214) 660-8554
Fax: (214) 660-8634

The NPI 1194961904 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/29/2008 and was last updated on 8/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		013074	NEW YORK	No
2	363A00000X	Physician Assistant		2021021702	MISSOURI	No
3	363A00000X	Physician Assistant		PA59643	CALIFORNIA	No
4	363A00000X	Physician Assistant		10383	GEORGIA	No
5	363A00000X	Physician Assistant		0010-11282	NORTH CAROLINA	No
6	363AM0700X	Physician Assistant	Medical	3099	OKLAHOMA	No
7	363AM0700X	Physician Assistant	Medical	5601010504	MICHIGAN	No
8	363AM0700X	Physician Assistant	Medical	PA06380	TEXAS	Yes
9	363AM0700X	Physician Assistant	Medical	12215796-1206	UTAH	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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