DR. NWAMAKA OLUTOLA OLUWATO (NPI# 1649513904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649513904 |
| Entity Type | Individual |
| Full Name | DR. NWAMAKA OLUTOLA OLUWATO |
| Credential | M.D. |
| Practice Address |
1221 Mercantile Ln Upper Marlboro MD 20774-5374 |
| Practice Telephone | 3016185500 |
| Mailing Telephone | 3016185500 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD044408 | DC | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | D81841 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
1221 MERCANTILE LN |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-5374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568099471 | Stephany Venero | Dietitian, Registered | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2020-03-23 |
| 1386127942 | Joan Ife Udejiofor | Nurse Practitioner | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2018-09-10 |
| 1578040002 | Shanique Kimberley James | Pharmacist | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2018-07-27 |
| 1174014799 | Katherine Olsen Patel | Pharmacist | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2018-05-21 |
| 1992211502 | Isaac Donkoh | Registered Nurse | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2017-12-19 |
| 1770093262 | Crystal Charles | Pharmacist | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2017-10-10 |
| 1629507520 | Oluchi Elekwachi | Pharmacist | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2017-06-06 |
| 1992153407 | Malori Monet Callender | Family Medicine | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2016-05-25 |
| 1811353899 | Jennifer Ann Bauder | Physical Therapy Assistant | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2016-01-06 |
| 1457725467 | Anne C Smith | Occupational Therapist | 1221 Mercantile Ln, Dept 402, Upper Marlboro, MD 20774-5374 | 2015-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134598055 | Ayah Mumah Taniform | Family Medicine | 10600 Melwood Chapel Ln, Upper Marlboro, MD 20772-2960 | 2015-09-21 |
| 1306092135 | Anna Balkisue Mccall | Family Medicine | 3203 Valley Forest Dr, Upper Marlboro, MD 20772 | 2008-08-12 |
| 1144492471 | Tahani Laila Williams | Family Medicine | 14904 Van Wagner Rd, Upper Marlboro, MD 20772-9721 | 2008-03-26 |
| 1780728154 | Adora N Otiji | Family Medicine | 20 Watkins Park Dr, Upper Marlboro, MD 20774-1628 | 2007-02-17 |
| 1336280866 | Ben P Binghay | Family Medicine | 9654 Marlboro Pike, Upper Marlboro, MD 20772-3670 | 2007-02-09 |
| 1457462806 | John Herman Wills | Family Medicine | 14310 Old Marlboro Pike, Upper Marlboro, MD 20772-2840 | 2006-08-31 |
| 1427093343 | Medstar Southern Maryland Physicians, LLC | Family Medicine | 6409 South Crain Highway, Route 301, Upper Marlboro, MD 20772 | 2006-06-17 |
| 1619973534 | Arnulfo B Bonavente | Family Medicine | 6409 Crain Hwy, Route 301, Upper Marlboro, MD 20772-4139 | 2005-06-24 |
| 1215931779 | Alain Guy Champaloux | Family Medicine | 14314 Old Marlboro Pike, Upper Marlboro, MD 20772-2840 | 2005-06-10 |
| 1992153407 | Malori Monet Callender | Family Medicine | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2016-05-25 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
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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.