BAMISEGUN VICTOR OLOWOFOYEKU (NPI# 1669506861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669506861 |
| Entity Type | Individual |
| Full Name | BAMISEGUN VICTOR OLOWOFOYEKU |
| Credential | M.D. |
| Practice Address |
508 Eastway Dr Charlotte NC 28205 |
| Mailing Address |
8039 Grove Hall Ave Mint Hill NC 28227-3731 |
| Practice Telephone | 7042480246 |
| Practice Fax Number | 7044678351 |
| Mailing Telephone | 7044821450 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25939 | NC | Allopathic & Osteopathic Physicians |
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
25939 | NC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 25939 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4200 Moorland Dr, Charlotte, NC 282261112 | 7045413172 | |
| 508 Eastway Dr, Charlotte, NC 28205 | 7042480246 | 7044678351 |
| Street Address |
508 EASTWAY DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114550183 | Linda Darnell Olowofoyeku | Registered Nurse | 508 Eastway Dr, Charlotte, NC 28205-1421 | 2020-02-19 |
| 1336693852 | Zenith Hope Center | Community/Behavioral Health | 508 Eastway Dr, Charlotte, NC 28205-1421 | 2016-08-12 |
| 1235539651 | Deborah Morris Boyce | Counselor | 508 Eastway Dr, Charlotte, NC 28205-1421 | 2014-09-04 |
| 1467652016 | The Women's Care Center | Clinic/Center | 508 Eastway Dr, Ste. A, Charlotte, NC 28205 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260493 | Sarah Mcgeachy Greene | Social Worker | 1332 Morningside Dr., Charlotte, NC 28205 | 2020-09-16 |
| 1538705090 | Insight Counseling & Mental Health Co, Pllc | Social Worker | 4922 Albemarle Blvd, Charlotte, NC 28205 | 2019-11-20 |
| 1821631672 | Healthy Living Pharmacy | Pharmacy | 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 | 2019-10-24 |
| 1861957292 | Oakhurst Health Investers Inc. | Pharmacy | 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 | 2019-02-11 |
| 1710459938 | Leis Therapy LLC | Physical Therapist | 1617 Onslow Dr, Charlotte, NC 28205 | 2018-12-28 |
| 1518449776 | Natalie C Martinez-rogers Dmd Pa | Dentist | 2100 N Davidson St Ste B, Charlotte, NC 28205 | 2018-09-05 |
| 1144716499 | Resourceful Solutions II | Case Management | 4920 Albmarle Roadd, Charlotte, NC 28205 | 2018-07-10 |
| 1679072805 | Richard Mcdonald | Counselor | 4922 Albemarle Rd Ste 5, Charlotte, NC 28205 | 2018-02-02 |
| 1487160107 | Catherine King | Nurse Practitioner | 2801 Virginia Ave, Charlotte, NC 28205 | 2017-12-18 |
| 1295251213 | Kashmia A Fanning | Social Worker | 4822 Albermarle Road, Charlotte, NC 28205 | 2017-08-22 |
| Find all providers in zip 28205 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1942719950 | Peak Wellness Clinic Pllc | Psychiatry & Neurology | 5252 B N Sharon Amity Road, Charlotte, NC 28215 | 2017-09-21 |
| 1467798520 | Sabina Benel | Psychiatry & Neurology | 5252b N Sharon Amity Rd, Charlotte, NC 28215-0053 | 2012-12-18 |
| 1992947766 | Faith Medical Center P.C. | Psychiatry & Neurology | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2009-03-25 |
| 1023006558 | Stephanie Newby | Psychiatry & Neurology | 501 Billingsley Rd, Ste B, Charlotte, NC 28211-1009 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1124446430 | Hien Ngoc Nguyen | Psychiatry & Neurology | 2172 N Salem St Ste 105, Apex, NC 27523-6457 | 2014-04-03 |
| 1518099910 | Nzinga Ajabu Harrison | Psychiatry & Neurology | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2007-03-12 |
| 1962585513 | Elizabeth Shirley Stanton | Psychiatry & Neurology | 129 Mayo St, Hillsborough, NC 27278 | 2006-10-24 |
| 1548373525 | Marvin J Hoffert | Psychiatry & Neurology | 1011 Schaub Dr, Suite 201, Raleigh, NC 27606-1862 | 2006-08-16 |
| 1437162096 | Gregory Oran Dill | Psychiatry & Neurology | 932 Hendersonville Rd Ste 105c, Asheville, NC 28803-6628 | 2006-08-14 |
| 1538183942 | Gary G. Leonhardt | Psychiatry & Neurology | 203 Government Cir, Greenville, NC 27834-8198 | 2006-07-27 |
| 1578597365 | Judith Louise Hoffman | Psychiatry & Neurology | 283 Biltmore Ave, Asheville, NC 28801-4157 | 2006-07-10 |
| 1396707568 | Howard K Mason | Psychiatry & Neurology | 1201 S Post Rd Ste 100, Shelby, NC 28152-7438 | 2006-04-04 |
| 1942269766 | Keshavpal G Reddy | Psychiatry & Neurology | 3511 W Market St, Suite 100, Greensboro, NC 27403-4443 | 2006-03-21 |
| Find all providers with the same taxonomy | ||||
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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.