Bamidele Ganiyu
Nurse Practitioner | 12+ years Exp
2101 Corona Rd Ste 102, Columbia
Missouri, 65203-2582
573-234-1800
Bamidele Ganiyu is a Columbia, Missouri based nurse practitioner with 12 years of experience in . He completed his graduation from Saint Louis University School Of Medicine in 2013. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Bamidele Ganiyu is 2020002143 for Psych/Mental Health in Missouri. His current practice location is 2101 Corona Rd Ste 102, Columbia. Patients can reach him at 573-234-1800 or can fax him at 573-234-1799 and his NPI number (Unique professional ID assigned by NPPES) is 1073155933.
Bamidele Ganiyu has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Bamidele Ganiyu speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Bamidele Ganiyu |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Experience: | 12+ years |
| Medical School Attended: | Saint Louis University School Of Medicine |
| Graduation Year: | 2013 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2101 Corona Rd Ste 102, Columbia,
Missouri, 65203-2582 |
| Phone: | 573-234-1800 |
| Fax: | 573-234-1799 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1153759394 |
| Enrollment ID: | I20200320002762 |
| NPI Number: | 1073155933 |
| NPI Enumeration Date: | 11 Oct, 2019 |
| NPI Last Update On: | 19 Nov, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bamidele Ganiyu are as mentioned below.
| License Number | Specialization | State | Status | |
| 2020002143 | Psych/Mental Health | Missouri | Primary | |
| 2020002143 | Nurse Practitioner | Missouri | Secondary | |
| 83508 | Psych/Mental Health | Kansas | Secondary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Bamidele Ganiyu is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Barnes Health Care Management Group Llc (1759441447) | 40 |
| Mercy Clinic Adult Hospitalists St Louis Llc (6002809944) | 114 |
| St Anthonys Physician Organization Hospitalist Services Lc (5092980656) | 82 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bamidele Ganiyu
616 Derek Dr,
Wentzville, Missouri |
| Zip: | 63385-6841 |
| Phone Number: | 314-960-4106 |
Patients can reach Bamidele Ganiyu at
2101 Corona Rd Ste 102, Columbia, Missouri or can
call to book an appointment on 573-234-1800.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.