TEMITOPE OLADOKUN OLAGBAIYE (NPI# 1043561277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043561277 |
| Entity Type | Individual |
| Full Name | TEMITOPE OLADOKUN OLAGBAIYE |
| Credential | NP |
| Practice Address |
3956 Mount Elliott St Detroit MI 48207-1841 |
| Mailing Address |
21646 Phoenix Dr Apt/suite Macomb MI 48044-6408 |
| Practice Telephone | 3139254540 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2017-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704252765 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE NUMBER | 4704252765 | 01 |
| Street Address |
3956 MOUNT ELLIOTT ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-1841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619985058 | Professional Medical Center PC | Family Medicine | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2006-08-03 |
| 1063982312 | Ellen L Anderson | Registered Nurse | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2018-11-29 |
| 1134620008 | Laneice Jones | Social Worker | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2018-02-26 |
| 1306271135 | Cassandra Rena Viney | Nurse Practitioner | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2013-09-11 |
| 1497004527 | Kasheena T Shropshire | Nurse Practitioner | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2012-09-05 |
| 1568695179 | Angela Michele Allen | Nurse Practitioner | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2009-08-29 |
| 1891922613 | Omosalewa Itauma | Obstetrics & Gynecology | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2009-06-18 |
| 1407012834 | Henri Godbold | Internal Medicine | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2008-08-05 |
| 1811044118 | Pro Care Helath Plan Inc. | Health Maintenance Organization | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2007-01-05 |
| 1093725186 | Usha L Doshi | Pediatrics | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1639776164 | Jennifer N Fucile | Nurse Practitioner | 3800 Woodward Ave Apt 702, Detroit, MI 48201-1980 | 2020-10-07 |
| 1649880329 | Dedra Delane Ford | Nurse Practitioner | 18255 Birchcrest Dr, Detroit, MI 48221-2750 | 2020-08-06 |
| 1528695624 | Venvisor Health Michigan LLC | Nurse Practitioner | 400 Renaissance Ctr Ste 200, Detroit, MI 48243-1502 | 2020-03-26 |
| 1558909978 | Ruxandra Maria Lazar | Nurse Practitioner | 5285 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2019-12-16 |
| 1376186460 | Fazila Mahmood Siddiqui | Nurse Practitioner | 22201 Moross Rd Bldg Suite380, Detroit, MI 48236-2169 | 2019-10-22 |
| 1205482692 | Ladawn Denise Kennedy | Nurse Practitioner | 16645 Ilene St, Detroit, MI 48221-3401 | 2019-08-13 |
| 1427600246 | Christina Neirinck | Nurse Practitioner | 2401 St Antoine St, Detroit, MI 48201 | 2019-07-11 |
| 1548821556 | Ty R Houston | Nurse Practitioner | 13100 Corbett St, Detroit, MI 48213-2081 | 2019-06-21 |
| 1235795451 | Nekisha Bailey | Nurse Practitioner | 7501 Parkland, Detroit, MI 48239-1079 | 2019-05-13 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.