OMOLOLA FOWLER (NPI# 1205320199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205320199 |
| Entity Type | Individual |
| Full Name | OMOLOLA FOWLER |
| Credential | FNP-BC |
| Practice Address |
1126 Opal Ct Hagerstown MD 21740-5940 |
| Practice Telephone | 2404200950 |
| Mailing Telephone | 2404200950 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
R193789 | MD | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | R193789 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
1126 OPAL CT |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932180627 | Nancy Marian Manahan | Nurse Practitioner | 1126 Opal Ct, Hagerstown, MD 21740 | 2005-11-09 |
| 1265998355 | Sophy Karigo Kamau | Nurse Practitioner | 1126 Opal Ct, Hagerstown, MD 21740-5940 | 2019-02-14 |
| 1164937579 | Erin Stansbury | Registered Nurse | 1126 Opal Ct, Hagerstown, MD 21740-5940 | 2017-12-07 |
| 1164875654 | Gwenn Leatherman | Registered Nurse | 1126 Opal Ct, Hagerstown, MD 21740-5940 | 2016-07-20 |
| 1578804274 | Valerie Theodora Simon | Nurse Practitioner | 1126 Opal Ct, Hagerstown, MD 21740-5940 | 2013-03-06 |
| 1811092364 | Susan Elaine Lange | Nurse Practitioner | 1126 Opal Ct, Hagerstown, MD 21740-5940 | 2006-09-13 |
| 1063453942 | Sarala Crist | Nurse Practitioner | 1126 Opal Ct, Hagerstown, MD 21740 | 2006-06-09 |
| 1184665143 | Muhammad K Waseem | Internal Medicine | 1126 Opal Ct, Hagerstown, MD 21740-5940 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447426895 | Padder Health Services, LLC | Family Medicine | 11110 Medical Campus Rd Ste 223, Hagerstown, MD 21742-6727 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245371 | Cynthia Tessie | Family Medicine | 1398 Hawthorn Dr, Hanover, MD 21076-2197 | 2020-11-05 |
| 1093354920 | Irina Konstantinovna Baum | Family Medicine | 3893 Fortress Ct, Hampstead, MD 21074-1790 | 2019-12-23 |
| 1972140242 | Abisola Omowumi Alade | Family Medicine | 9312 Silver Charm Dr, Randallstown, MD 21133-4610 | 2019-12-05 |
| 1336799634 | Abosede Adeniji Sakariyah | Family Medicine | 18403 Woodhouse Ln, Germantown, MD 20874-4110 | 2019-09-18 |
| 1962960229 | Parkville Medical Group LLC | Family Medicine | 1721 Belfast Rd, Sparks, MD 21152-9786 | 2019-03-06 |
| 1548665771 | Robert Charles Frey | Family Medicine | 801 Richardson Dr, Harwood, MD 20776-9463 | 2014-10-30 |
| 1639571573 | C. Gottfried Baumann | Family Medicine | 8293 Brices Mill Rd, Chestertown, MD 21620-4678 | 2014-09-23 |
| 1184067514 | Vijaya Lakshmi Alla | Family Medicine | 6014 Old Branch Avenue, Temple Hills, MD 20748 | 2013-04-16 |
| 1750623393 | William Nicholas Fishbein | Family Medicine | 13549 Scottish Autumn Ln, Gaithersburg, MD 20878-3990 | 2013-03-21 |
| 1114273844 | Kum Hai Lee | Family Medicine | 815 Woodley Dr, Rockville, MD 20850-2033 | 2012-07-31 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
Please comment or provide details below to improve the information on OMOLOLA FOWLER.
| 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.