OLUSEYI ADEBOLA SOFOLUWE (NPI# 1518458363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518458363 |
| Entity Type | Individual |
| Full Name | OLUSEYI ADEBOLA SOFOLUWE |
| Credential | CRNP |
| Practice Address |
7610 Carroll Ave Ste 100 Takoma Park MD 20912-6311 |
| Practice Telephone | 3018912500 |
| Mailing Telephone | 3018912500 |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2020-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | R177845 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | RN1011899 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R177845 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14904 Van Wagner Rd, Upper Marlboro, MD 207729721 | 3019284725 | 3015741835 |
| Street Address |
7610 CARROLL AVE STE 100 |
| City | TAKOMA PARK |
| State | MD |
| Zip Code | 20912-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265419584 | James H. Rothstein | Surgery | 7610 Carroll Ave Ste 100, Takoma Park, MD 20912-6311 | 2005-12-28 |
| 1821526021 | Washington Vascular Surgi Center LLC | Surgery | 7610 Carroll Ave Ste 100, Takoma Park, MD 20912-6311 | 2017-06-01 |
| 1114471208 | Layla A Brown | Nurse Practitioner | 7610 Carroll Ave Ste 100, Takoma Park, MD 20912-6311 | 2016-08-07 |
| 1255729463 | Chimdinma Deborah Ojini | Nurse Practitioner | 7610 Carroll Ave Ste 100, Takoma Park, MD 20912 | 2014-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898426 | Takoma Park Gynecology LLC | Advanced Practice Midwife | 7050 Carroll, Suite 201, Takoma Park, MD 20912 | 2020-10-15 |
| 1669094470 | Alba Oliver-cephas | Counselor | 7610 Carroll Ave Suite 200, Takoma Park, MD 20912 | 2020-05-14 |
| 1689173650 | Fate Geleto | Home Health Aide | 6733 Newhampshire Ave#410, Takoma Park, MD 20912 | 2018-02-06 |
| 1437658549 | Hanna I-hwa Schmittat | Acupuncturist | 7120 Carroll Ave, Takoma Park, MD 20912 | 2018-02-04 |
| 1467960443 | Elaborate Home Health Care Services | Clinic/Center | 6480 New Hampshire Ave Ste 301b, Takoma Park, MD 20912 | 2018-01-12 |
| 1093223174 | Walinjom Feh Nanette | Home Health Aide | 664 Fairview Ave, Takoma Park, MD 20912 | 2018-01-11 |
| 1902312978 | Phucho Philomina | Home Health | 6731 New Hampshire Avenue, 601, Takoma Park, MD 20912 | 2017-12-28 |
| 1154848075 | Madge Richards Quesenberry | Counselor | 7600 Flower Avenue, Washington Adventist University Counseling Center, Takoma Park, MD 20912 | 2017-08-23 |
| 1083061386 | Arlette Ankouong | Nurse's Aide | 766 Fairview Ave, Apt 2, Takoma Park, MD 20912 | 2016-05-17 |
| 1275988487 | Betrand Anyam | Home Health Aide | 777 Maple Avenue, Apt 1101, Takoma Park, MD 20912 | 2016-04-26 |
| Find all providers in zip 20912 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336556976 | Tiffany Vesely | Nurse Practitioner | 7676 New Hampshire Avenue, Suite 220 A, Takoma Park, MD 20912 | 2014-07-15 |
| 1205304326 | Bunmi Ayobami Adewunmi | Nurse Practitioner | 7505 New Hampshire Ave Ste 314, Takoma Park, MD 20912-6972 | 2018-11-06 |
| 1396099529 | Comfort Panda | Nurse Practitioner | 7701 Carroll Ave, Takoma Park, MD 20912-7724 | 2012-11-09 |
| 1982901252 | Jeannette Nashed | Nurse Practitioner | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2011-02-22 |
| 1902100027 | Rebecca Chaudhry | Nurse Practitioner | 7610 Carroll Ave, Suite 300, Takoma Park, MD 20912-6384 | 2011-01-04 |
| 1235380015 | Subramanian Varadarajan | Nurse Practitioner | 7030 Carroll Ave, 2nd Floor, Takoma Park, MD 20912-4430 | 2008-10-09 |
| 1649306655 | Laura Keiler Topper | Nurse Practitioner | 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 2007-02-26 |
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| 1346841236 | Golden Oasis Healthcare Services LLC | Nurse Practitioner | 333 Old Line Ave, Laurel, MD 20724-2407 | 2020-11-05 |
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| 1417563891 | Barbara Katarzyna Wawryszyn | Nurse Practitioner | 12 Brook Farm Ct Unit E, Perry Hall, MD 21128-9042 | 2020-09-21 |
| 1659981728 | Jamie Briddell | Nurse Practitioner | 250 N Calvert St, Baltimore, MD 21202-3505 | 2020-08-04 |
| 1881202570 | Jisha S Varghese | Nurse Practitioner | 3257 Ramblewood Rd, Ellicott City, MD 21042-2445 | 2020-07-19 |
| 1710505524 | Jillian E Haney | Nurse Practitioner | 208 Plumtree Rd Ste C, Bel Air, MD 21015-6058 | 2020-07-08 |
| 1164040200 | Srkite Associates | Nurse Practitioner | 8 Sudbrook Ln Ste 1a, Pikesville, MD 21208-4132 | 2020-07-06 |
| 1447877279 | Katherine O'bryan | Nurse Practitioner | 176 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4529 | 2020-06-27 |
| 1790300903 | Hall Diabetes Management and Resource Center PC | Nurse Practitioner | 1900 E Northern Pkwy Ste T1, Baltimore, MD 21239-2120 | 2020-06-12 |
| 1376162362 | Thomas Nemer II | Nurse Practitioner | 2225 Old Emmorton Rd Ste 111, Bel Air, MD 21015-6122 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
| City | TAKOMA PARK |
| Zip Code | 20912 |
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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.