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DR. EDWARD OLUBANKOLE SENU-OKE MD NPI 1316990864


NPI Information

NPI: 1316990864
Provider Name: DR. EDWARD OLUBANKOLE SENU-OKE, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 202-3860
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DR. Edward Olubankole Senu-oke, MD is an internal medicine in Jacksonville, FL with 22 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Edward Olubankole Senu-oke, MD NPI is 1316990864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL
ZIP 32207-205
Phone: (904) 202-3860

The NPI 1316990864 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 5/18/2006 and was last updated on 1/19/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine0101241450VIRGINIANo
2208M00000XHospitalist0101241450VIRGINIANo
3207R00000XInternal MedicineME124895FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PAROTHERVIRGINIAMULTIPLAN
21316990864OTHERVIRGINIACOVENTRY NETWORK
3PAROTHERVIRGINIACIGNA
4-028OTHERVIRGINIATRICARE/CHAMPUS
51316990864OTHERVIRGINIAUNITED HEALTHCARE
61316990864MEDICAIDNORTH CAROLINA
7PAROTHERVIRGINIAUSA MANAGED CARE
8PAROTHERVIRGINIACORVEL
91316990864MEDICAIDVIRGINIA
10PAROTHERVIRGINIAAETNA
111017159OTHERVIRGINIAOPTIMA HEALTH
121316990864OTHERVIRGINIAVIRGINIA PREMIER HEALTH PLAN
13490717OTHERVIRGINIAANTHEM BC/BS
14PAROTHERVIRGINIAVIRGINIA HEALTH NETWORK

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.