MR. AYODEJI BAMIDELE OLAWALE (NPI# 1598395725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598395725 |
| Entity Type | Individual |
| Full Name | MR. AYODEJI BAMIDELE OLAWALE |
| Practice Address |
5401 Old Court Rd Randallstown MD 21133-5103 |
| Mailing Address |
9510 Caveat Ct Randallstown MD 21133-4662 |
| Practice Telephone | 3019052947 |
| Mailing Telephone | 3019052947 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R210564 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5401 OLD COURT RD |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054089 | Michael Holloway | Specialist | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2005-06-28 |
| 1235746231 | Brianne Elizabeth Leaf | Surgery | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-09-24 |
| 1528674132 | April Puskar | Nurse Practitioner | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-09-18 |
| 1790398659 | Jessica Stehman | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-08-28 |
| 1578176863 | Margot Wallace | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-08-26 |
| 1740805779 | Elizabeth M Atkinson | Physician Assistant | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-06-16 |
| 1316571722 | Morgan Ariel Murray | Nurse Practitioner | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-02-24 |
| 1811527278 | Ifeoma Jennifer Dunn | Nurse Practitioner | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-01-23 |
| 1336779578 | Lerin Jackson | Nurse Practitioner | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-01-15 |
| 1518514371 | Moses Obura | Hospitalist | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2019-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304887 | Gideon Tah Fon | Nurse Practitioner | 6 Rock Story Ct, None, Randallstown, MD 21133-2844 | 2020-07-27 |
| 1679190292 | Abigael O Olaleye | Nurse Practitioner | 4224 Mary Ridge Dr, Randallstown, MD 21133-4321 | 2020-06-30 |
| 1407480817 | Sunny Besong Diffang | Nurse Practitioner | 3523 Corn Stream Rd, Randallstown, MD 21133-2442 | 2020-02-24 |
| 1316571722 | Morgan Ariel Murray | Nurse Practitioner | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-02-24 |
| 1811527278 | Ifeoma Jennifer Dunn | Nurse Practitioner | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-01-23 |
| 1336779578 | Lerin Jackson | Nurse Practitioner | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2020-01-15 |
| 1053820621 | Alimatu Kosnatu Nabie | Nurse Practitioner | 5401 Old Court Rd, Randallstown, MD 21133-5103 | 2017-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697533 | Brighter Days Recovery Center | Nurse Practitioner | 2439 E Lafayette Ave, Baltimore, MD 21213-2562 | 2020-10-23 |
| 1033718762 | White Plains Primary Care | Nurse Practitioner | 50 Post Office Rd Ste 304, Waldorf, MD 20602-3704 | 2020-10-23 |
| 1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
Please comment or provide details below to improve the information on MR. AYODEJI BAMIDELE OLAWALE.
| 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.