Individual
OLUREMI C ADESIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 373-9965
(260) 458-5664
Mailing address
1234 E DUPONT RD, SUITE 1, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 373-9740
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01068108A
IN
208000000X
Pediatrics Physician
036-116960
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
01068108A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-116960
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000655415
ANTHEM
IN
05
—
001289011
—
PA
05
—
200979870
—
IN
05
—
8466700
—
NJ
Enumeration date
07/13/2006
Last updated
04/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us