Physician Compare National (NPI:1033300074)

HEALTHCARE PROVIDER: OLUSEGUN ADEWOLE OYENUGA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033300074
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577616226
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150921002636
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OYENUGA
	Individual professional last name
Provider First Name	OLUSEGUN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	CARDIAC ELECTROPHYSIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HEARTPLACE PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2769386473
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	70
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	7777 FOREST LN
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A341
	Group Practice or individual's line 2 address
City	DALLAS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	752302500
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9725665700
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450537
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METHODIST RICHARDSON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450651
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDICAL CITY PLANO
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450647
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEDICAL CITY DALLAS HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	670025
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	THE HEART HOSPITAL BAYLOR PLANO
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y