MEDICARE: DR. DOROTHY TATA-OYEKAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	29385	OK
2	207Q00000X	Family Medicine Physician	ME110928	FL
3	207Q00000X	Family Medicine Physician	46953	KY

General Provider Information

NPI Number	:	1760739841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOROTHY TATA-OYEKAN MD

Provider Business Mailing Address
First Line	:	PO BOX 776351
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6351
Country	:	US
Telephone Number	:	502-588-9490
Fax Number	:	502-272-5116

Provider Business Practice Location Address
First Line	:	12903 SHELBYVILLE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40243-1538
Country	:	US
Telephone Number	:	502-245-4301
Fax Number	:	502-244-5829

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2012
Last Update Date	:	01/19/2017

Similar Medicare Providers

1912983487 — LISA S BORDEN MD
Practice Location Address:

12955 SHELBYVILLE RD STE 1
LOUISVILLE, KY
40243-1538

Practice Phone: 502-254-2223
Practice Fax: 502-254-2525

1992760458 — KARYN R WATTERS M.D.
Practice Location Address:

12903 SHELBYVILLE RD
LOUISVILLE, KY
40243-1538

Practice Phone: 502-244-5827
Practice Fax: 502-244-5829

1083775167 — DR. ROBERT B PALMER BALL MD
Practice Location Address:

12903 SHELBYVILLE RD
LOUISVILLE, KY
40243-1538

Practice Phone: 502-245-4301
Practice Fax: 502-244-5829

1326544420 — VIRGINIA L MENCHE MD
Practice Location Address:

12955 SHELBYVILLE RD STE 1
LOUISVILLE, KY
40243-1538

Practice Phone: 502-254-2223
Practice Fax: 502-254-2525

1659937407 — KAITLYN MARIE MIDDAUGH MD
Practice Location Address:

12955 SHELBYVILLE RD STE 1
LOUISVILLE, KY
40243-1538

Practice Phone: 502-254-2223
Practice Fax:

1811524309 — MRS. STEPHANIE PAIGE MCGEE MD
Practice Location Address:

12955 SHELBYVILLE RD STE 2
LOUISVILLE, KY
40243-1538

Practice Phone: 502-245-4301
Practice Fax: 502-394-3632

Directions to “ DR. DOROTHY TATA-OYEKAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.