DR. OLUWOLE ADEMOLA ODUNUSI (NPI# 1457588915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457588915 |
| Entity Type | Individual |
| Full Name | DR. OLUWOLE ADEMOLA ODUNUSI |
| Other Name | DR. WOLE ADEMOLA ODUNUSI |
| Credential | M.D. |
| Practice Address |
330 Brookline Ave # Ksb23 Boston MA 02215 |
| Mailing Address |
1090 Medical Center Dr Wilmington NC 28401-7353 |
| Practice Telephone | 6176675864 |
| Practice Fax Number | 6176674849 |
| Mailing Telephone | 9106679402 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 274233 | MA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
274233 | MA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
274233 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
201201885 | NC | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
274233 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
330 BROOKLINE AVE # KSB23 |
| City | BOSTON |
| State | MA |
| Zip Code | 02215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386136034 | Kimberly Campbell | Nurse Practitioner | 330 Brookline Ave # Ksb23, Boston, MA 02215-5491 | 2018-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528488459 | Kate Steinberg | Internal Medicine | 72 E Concord St # R304, Boston, MA 02118 | 2014-04-18 |
| 1619210846 | Wei He | Internal Medicine | 725 Albany St Fl 9, Boston, MA 02118-2526 | 2013-04-06 |
| 1669779211 | Eos Health LLC | Internal Medicine | Ten Post Office Square, 8th Floor, Boston, MA 02109-4629 | 2011-02-17 |
| 1124150081 | Stephen H Loring | Internal Medicine | 330 Brookline Ave Anesth, Beth Israel Hospital, Boston, MA 02215 | 2007-03-09 |
| 1144329327 | Laura Kane Rock | Internal Medicine | Bidmc Pulmonary Ksb 23, 330 Brookline Avenue, Boston, MA 02215 | 2006-09-22 |
| 1336167857 | David L Miller | Internal Medicine | Mass General Hospital, 55 Fruit St, Bulf 148, Boston, MA 02114 | 2006-07-17 |
| 1215953146 | Lynda Marie Cristiano | Internal Medicine | 75 Francis St Pbb Clinic 3, Boston, MA 02115 | 2006-07-14 |
| 1427096726 | Kari E Roberts | Internal Medicine | 800 Washington St # 257, Boston, MA 02111-1552 | 2006-06-02 |
| 1144267733 | Christopher Hardy Fanta | Internal Medicine | 15 Francis St., Boston, MA 02115 | 2006-06-01 |
| 1114964392 | Barrett Tyler Kitch | Internal Medicine | 15 Francis St Pbb Lobby, Brigham and Womens Hospital Center for Chest Diseases, Boston, MA 02115 | 2006-05-31 |
| Find all providers in BOSTON | ||||
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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.