DR. OLATUNDE IDOWU


Address: 3950 Austell Rd, Box 22, Austell, GA 30106-1121
Phone: 7707324022

DR. OLATUNDE IDOWU (NPI# 1417951369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417951369
Entity Type Individual
Full Name DR. OLATUNDE IDOWU
Credential MD
Practice Address 3950 Austell Rd
Box 22
Austell
GA 30106-1121
Practice Telephone 7707324022
Practice Fax Number 7707324023
Mailing Telephone 7707324022
Mailing Fax Number 7707324023
Enumeration Date 2005-06-09
Last Update Date 2019-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 057374 GA Allopathic & Osteopathic Physicians
Y 208M00000X Hospitalist 057374 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 89138C5 05

Office Location

Street Address 3950 AUSTELL RD
BOX 22
City AUSTELL
State GA
Zip Code 30106-1121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962001834 Camille Patrice Mckenzie-brown Nurse Practitioner 3950 Austell Rd, Austell, GA 30106-1121 2020-10-22
1508487018 Michelle Taylor Marbury Pharmacist 3950 Austell Rd, Austell, GA 30106-1121 2020-05-06
1477174605 Alexandra Kamman Physical Therapist 3950 Austell Rd, Austell, GA 30106-1121 2020-04-28
1023637923 Lauren Davison Warren Registered Nurse 3950 Austell Rd, Austell, GA 30106-1121 2020-04-10
1932730306 Kerstie Kay Sims Registered Nurse 3950 Austell Rd, Austell, GA 30106-1121 2020-02-03
1386288280 Karen L Taylor Pharmacist 3950 Austell Rd, Austell, GA 30106-1121 2019-11-04
1619510740 Taurus Rafeal Womble Nurse Practitioner 3950 Austell Rd, Austell, GA 30106-1121 2019-10-22
1699325951 Whitney Stafford Nurse Anesthetist, Certified Registered 3950 Austell Rd, Austell, GA 30106-1121 2019-09-18
1174177752 Amanda Mathews Vicznesky Physician Assistant 3950 Austell Rd, Austell, GA 30106-1121 2019-07-31
1285296160 Caroline Alexandra Jones Physician Assistant 3950 Austell Rd, Austell, GA 30106-1121 2019-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073126231 Courtney Lashune Dorsett Nurse Practitioner 1005 Cureton Drive, Austell, Austell, GA 30106 2020-08-27
1184240491 Brian H Eves Dietitian, Registered 3972 Brantley Drive, Austell, GA 30106 2020-06-23
1669014486 Jesse Mccoy Registered Nurse 3950 Austell Rd., Austell, GA 30106 2019-10-14
1427522820 Envision Optics LLC Optometrist 1680 E West Connector, Austell, GA 30106 2019-01-18
1972042380 Thomas Dental Group Clinic/Center 1133 East West Connector, Suite 120, Austell, GA 30106 2017-02-17
1245779792 Colton Dental Group Clinic/Center 2495 East-west Connector, Ste 60, Austell, GA 30106 2017-02-16
1144691684 Georgia Dental Professionals, PC Dentist 780 East West Connector Sw, Suite 108, Austell, GA 30106 2015-10-09
1285013714 Ikeade Bello Alamu Nurse Practitioner 2870 Betula Drive, Austell, GA 30106 2015-05-29
1376922211 Jessica Williams Obstetrics & Gynecology 1700 Hospital South Dr Ste 500, Austell, GA 30106 2015-05-26
1558799593 Tonya Renee Baldwin Speech-Language Pathologist 4229 Brass Trl., Austell, GA 30106 2013-10-30
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205222189 Kevin Deshaun Smith Hospitalist 3950 Austell Rd, Austell, GA 30106 2015-04-08
1578811782 Wellstar Medical Group, LLC Hospitalist 3950 Austell Rd, Ob/gyn Hospitalists, Austell, GA 30106-1121 2012-08-17
1811282502 Wellstar Medical Group, LLC Hospitalist 3950 Austell Rd, Austell, GA 30106-1121 2011-06-10
1497913867 Benadette Kerubo Makori-nelson Hospitalist 3950 Austell Rd, Box 22, Austell, GA 30106-1121 2008-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033770771 Your Hospitalist Team LLC Hospitalist 2215 Autumn Ridge Ln, Cumming, GA 30041-1358 2019-06-24
1780194183 Mobin Shah Inc Hospitalist 352 Langshire Dr, Mcdonough, GA 30253-8055 2017-10-11
1972036721 Getnet Alemu Tioum Hospitalist 1267 Pounds Ln, Clarkston, GA 30021-2830 2017-04-08
1720531692 Zahraa Rabeeah Hospitalist 390 17th St Nw Unit 5031, Atlanta, GA 30363-2015 2016-07-27
1245614973 Donovan Philbrick Hospitalist 743 Spring Street, Office of Inpatient Medicine, Gainesville, GA 30501 2015-07-13
1932529732 Munir Chaudhuri Hospitalist 1364 Clifton Road Ne Box M7, Atlanta, GA 30322-1029 2014-04-18
1982979373 Rianot Amzat Hospitalist 5665 Peachtree Dunwoody # Ga, Suite 500, Atlanta, GA 30342-1701 2012-03-19
1780970921 Christopher Thomas Middendorf Hospitalist 1400 River Place, Braselton, GA 30517 2011-06-27
1043528268 Medcare Physicians of Central Georgia, LLC Hospitalist 1040 Founders Row, Ste A, Greensboro, GA 30642-5261 2010-09-22
1619293354 Aaron D Gluth Hospitalist 1364 Clifton Rd Ne Box M-7, Atlanta, GA 30322-1059 2010-04-19
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Competitor

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City AUSTELL
Zip Code 30106

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Dataset Information

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.

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