ADEJUMOKE OLAMIDE OSUNTOGUN (NPI# 1669627337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669627337 |
| Entity Type | Individual |
| Full Name | ADEJUMOKE OLAMIDE OSUNTOGUN |
| Credential | MD |
| Practice Address |
17001 Science Dr Ste 102 Bowie MD 20715 |
| Mailing Address |
9910 Franklin Square Dr # 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 2405561000 |
| Enumeration Date | 2008-11-23 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D79610 | MD | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD038477 | DC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 850 Delaware Ave Sw, Washington, DC 200244208 | 2025484520 | 2024840209 |
| Street Address |
17001 SCIENCE DR STE 102 |
| City | BOWIE |
| State | MD |
| Zip Code | 20715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851357065 | Bonita Coe | Internal Medicine | 17001 Science Dr Ste 102, Bowie, MD 20715 | 2006-04-25 |
| 1164784641 | Mariama Jeloh Bah-sow | Family Medicine | 17001 Science Dr Ste 102, Bowie, MD 20715 | 2012-06-11 |
| 1104098326 | Paul David Giles | Family Medicine | 17001 Science Dr Ste 102, Bowie, MD 20715 | 2008-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| 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 |
|---|---|---|---|---|
| 1104460773 | The Surgery Clinics LLC | Family Medicine | 14300 Gallant Fox Ln Ste 110, Bowie, MD 20715-4031 | 2019-11-06 |
| 1609436518 | Louisa Kanu | Family Medicine | 5711 Hillmeade Rd, Bowie, MD 20720-4665 | 2019-06-13 |
| 1467916437 | Kimberly Alicia Smith | Family Medicine | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-01-24 |
| 1770085029 | Healing Vessel Medical Associates LLC | Family Medicine | 14903 Dennington Dr, Bowie, MD 20721-3277 | 2018-03-02 |
| 1285182774 | Patient First Maryland Medical Group Pllc | Family Medicine | 15459 Annapolis Road, Bowie, MD 20715-1847 | 2016-09-14 |
| 1861719437 | Erica Davis Patton | Family Medicine | 504 N Mason St, Bowie, TX 76230-4231 | 2010-04-22 |
| 1265551592 | Lynn V. Yarborough | Family Medicine | 2905 Mitchellville Road, Suite 106, Bowie, MD 20716-3953 | 2007-03-28 |
| 1477619898 | Max G Latham | Family Medicine | 211 Koonce Rd, Bowie, TX 76230-2354 | 2006-12-29 |
| 1417067216 | Gerard P Champaloux Md | Family Medicine | 14300 Gallant Fox Lane, Suite 110, Bowie, MD 20715-4031 | 2006-08-30 |
| 1386638021 | Ranjit S Risam | Family Medicine | 3060 Mitchellville Rd, 210, Bowie, MD 20716-1389 | 2005-09-08 |
| Find all providers in BOWIE | ||||
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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.