ADESOLA AWOMOLO


Address: 2401 W University Ave, Muncie, IN 47303
Phone: 7652812030

ADESOLA AWOMOLO (NPI# 1699778894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699778894
Entity Type Individual
Full Name ADESOLA AWOMOLO
Credential MD
Practice Address 2401 W University Ave
Muncie
IN 47303
Mailing Address 1200 W White River Blvd
Rcs Provider Enrollment
Muncie
IN 47303-4988
Practice Telephone 7652812030
Mailing Telephone 8776685621
Enumeration Date 2005-05-23
Last Update Date 2019-11-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
01083014A IN Allopathic & Osteopathic Physicians
N 207RX0202X Internal Medicine
Specialization: Medical Oncology
200101004 NC Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1520 Physicians Dr, Wilmington, NC 284017356 9104555511
1960 S 16th St, Wilmington, NC 284016676 9104555511
221 Memorial Dr, Jacksonville, NC 285466333 9104555511
5145 S College Rd, Wilmington, NC 284122207 9104555511
7420 Market St, Wilmington, NC 284119453 9104555511

Office Location

Street Address 2401 W UNIVERSITY AVE
City MUNCIE
State IN
Zip Code 47303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235740846 Kalee Danielle Gerber Nurse Practitioner 2401 W University Ave, Muncie, IN 47303-3428 2020-08-17
1295343903 Elizabeth Ann Ewer Registered Nurse 2401 W University Ave, Muncie, IN 47303-3428 2020-07-20
1043838261 Bailey Noel Cole Nurse Practitioner 2401 W University Ave, Muncie, IN 47303-3428 2020-07-14
1205454857 Dylan L Holcomb Nurse Practitioner 2401 W University Ave, Muncie, IN 47303-3428 2020-07-10
1972124451 David Andrew Price Student in an Organized Health Care Education/Training Program 2401 W University Ave, Muncie, IN 47303-3428 2020-05-06
1396366969 David Arthur Schmitz Student in an Organized Health Care Education/Training Program 2401 W University Ave, Muncie, IN 47303-3428 2020-05-05
1093336943 Donald Brock Smith Student in an Organized Health Care Education/Training Program 2401 W University Ave, Muncie, IN 47303-3428 2020-05-01
1629699772 Jared Blake Salisbury Student in an Organized Health Care Education/Training Program 2401 W University Ave, Muncie, IN 47303-3428 2020-04-29
1831718451 Morgan Perkins Dietitian, Registered 2401 W University Ave, Muncie, IN 47303-3428 2020-04-14
1144859596 James William Daggett Student in an Organized Health Care Education/Training Program 2401 W University Ave, Muncie, IN 47303-3428 2020-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144790726 Elisabeth Marriah Bernal Nurse Practitioner 2525 W University Ave Suite 300, Muncie, IN 47303 2018-11-27
1013413806 Charles Austin Curtis Student in an Organized Health Care Education/Training Program Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 2018-04-02
1730607359 Ronald Settles Home Health 1812 Carver Dr, Muncie, IN 47303 2017-09-04
1932635034 Abigail Chilsen Student in an Organized Health Care Education/Training Program 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 2017-05-10
1780117176 Adil Khan Internal Medicine Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 2017-04-04
1508212044 Erick Reece Christensen Student in an Organized Health Care Education/Training Program 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 2016-05-13
1700230075 Mallory Nebergall Student in an Organized Health Care Education/Training Program 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 2016-04-22
1811341282 Padmini Parameswaran Student in an Organized Health Care Education/Training Program 2525 W. University Ave, Suite 401, Muncie, IN 47303 2016-04-21
1437557345 Great Lakes Family Dental Group-muncie, P.C. Dentist 1003 W. Mcgalliard Road, Muncie, IN 47303 2014-12-09
1194145185 Swetha Boddeda Student in an Organized Health Care Education/Training Program 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 2014-04-17
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Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184133555 Horizon Medical Group, Inc Internal Medicine 1345 Unity Pl Ste 345, Lafayette, IN 47905-5761 2017-09-28
1346515665 Coleman Obasaju Internal Medicine 12098 Ashcroft Pl, Carmel, IN 46032-8901 2012-03-20
1780918987 Union Associated Physicians Clinic, LLC Internal Medicine 1711 No. 6 1/2 Street, Hux Cancer Center, Suite 200, Terre Haute, IN 47804-4018 2009-09-22
1902038060 Waldo I Ortuzar Internal Medicine 13869 Kickapoo Tr., Carmel, IN 46033-8545 2009-08-21
1558562371 Cecilia Choi Internal Medicine 1100 Reid Pkwy Ste 105, Richmond, IN 47374-1157 2007-05-30
1669419867 Roberto Pili Internal Medicine 1030 W Michigan St, Indianapolis, IN 46202-5201 2006-05-31
1275597650 William S Kamanda Internal Medicine 53760 Generations Dr, South Bend, IN 46635-1539 2006-04-13
1760451413 Vijaya Kakani Internal Medicine 420 N 26th St, Lafayette, IN 47904-2842 2006-03-15
1982685533 Rathipriya Mahendran Internal Medicine 831 Theatre Drive, Marion, IN 46952-4470 2005-11-10
1750372819 Robert J Steele Internal Medicine 806 S Berkley Rd, Kokomo, IN 46901-5110 2005-10-28
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Competitor

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City MUNCIE
Zip Code 47303

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Dataset Information

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.

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