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Deactivated NPI 1770706061 Deactivated / Inactive NPI Male Practitioner

Dr. Olugbenga A Ogunsanwo , MD

General Practice • Tallahassee, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Olugbenga Ogunsanwo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2007
NPI Deactivation Date October 16, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Olugbenga Ogunsanwo, MD was a registered General Practice practicing in Tallahassee, FL. Throughout an active medical career spanning 17 years, Dr. Ogunsanwo provided care at the practice location at 501 S CALHOUN ST until profile deactivation on 2024-10-16.

Historical Medicare Part B clinical services included vaccine for influenza for administration into muscle, 0.5 ml dosage, administration of influenza virus vaccine, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

501 S Calhoun St

Tallahassee, FL 323992500

Telephone 8507173276
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Tallahassee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Tallahassee, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
3.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage
19 18 $16.48 $16.15
G0008 Administration of influenza virus vaccine
19 18 $16.64 $15.52
99213 Established patient office or other outpatient visit, typically 15 minutes
14 12 $73.17 $71.21

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN181

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1023616430

Doctor of Medicine (M.D.), Master of Public Health

Dr. Long Do , MD

General Practice

NPI 1760899777

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
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NPI Profile Deactivated October 16, 2024

Record deactivated on October 16, 2024

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Updated Practice Location December 14, 2021

Registered at LAKE COUNTY DETENTION FACILITY, 551 W MAIN STREET, TAVARES, FL 327785532 (Tel: 3527424078)

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Updated Business Mailing Address December 14, 2021

Registered at LAKE COUNTY DETENTION FACILITY, 551 W MAIN STREET, TAVARES, FL 327785532 (Tel: 3527424078)

NPI Profile Active February 23, 2017

NPI status registered as active in NPPES database

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Updated Practice Location February 23, 2017

Registered at 1801 SE 32ND AVE, OCALA, FL 344715532 (Tel: 3526290137)

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Updated Business Mailing Address February 23, 2017

Registered at 1801 SE 32ND AVE, OCALA, FL 344715532 (Tel: 3526290137)

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Provider Name / Credentials Updated February 23, 2017

Recorded as OLUGBENGA OGUNSANWO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2017

General Practice (License #219833 in NY)

NPI Profile Active November 07, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 07, 2016

Registered at 501 S CALHOUN ST, TALLAHASSEE, FL 323992500 (Tel: 8507173276)

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Updated Business Mailing Address November 07, 2016

Registered at 3700 W SOVEREIGN PATH, LECANTO, FL 344618071 (Tel: 8507173276)

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Provider Name / Credentials Updated November 07, 2016

Recorded as OLUGBENGA OGUNSANWO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2016

General Practice (License #ACN181 in FL)

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Initial NPI Registration & Enumeration April 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770706061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2007
Last Update: November 07, 2016
Deactivation Date: October 16, 2024

Mailing Address

3700 W Sovereign Path

Lecanto, FL 344618071

Phone: 8507173276

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.