Physician Compare National (NPI:1982896742)

HEALTHCARE PROVIDER: SESAN FATUADE OGUNLEYE MD

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

Individual Professional Information
NPI	1982896742
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5597853374
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071112000453
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OGUNLEYE
	Individual professional last name
Provider First Name	SESAN
	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	1986
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ESS OF CLINTON LLC
	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	3375875180
	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	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	100 N 30TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	ALLIANCEHEALTH CLINTON
	Group Practice or individual's line 2 address
City	CLINTON
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	736013117
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	370029
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ALLIANCEHEALTH CLINTON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450801
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHRISTUS ST MICHAEL HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450498
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	STEPHENS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	451356
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y