OLUFUNKE OMOWUMI AJAYI (NPI# 1710437546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710437546 |
Entity Type | Individual |
Full Name | OLUFUNKE OMOWUMI AJAYI |
Other Name | OLUFUNKE KASSIM |
Credential | CRNP-F |
Practice Address |
3460 Old Washington Rd Suite 300 Waldorf MD 20602-3240 |
Mailing Address |
11350 Mccormick Rd Executive Plaza 1, Suite 501 Hunt Valley MD 21031-1002 |
Practice Telephone | 3016451523 |
Practice Fax Number | 3016456812 |
Mailing Telephone | 3016451523 |
Mailing Fax Number | 3016456812 |
Enumeration Date | 2016-10-05 |
Last Update Date | 2017-02-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R181684 | MD | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093195489 | Olufunke O Ajayi | Family Medicine | Centracare Clinic St Cloud Medical Group South, 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2015-06-01 |
Street Address |
3460 OLD WASHINGTON RD SUITE 300 |
City | WALDORF |
State | MD |
Zip Code | 20602-3240 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093715310 | Omar Farooq Ahmad | Ophthalmology | 3460 Old Washington Rd, Ste 302, Waldorf, MD 20602-3240 | 2005-07-28 |
1790169308 | Manisha K Chawla | Dentist | 3460 Old Washington Rd, Suite 102, Waldorf, MD 20602-3240 | 2015-07-13 |
1851709760 | Doctors of Audiology, LLC | Audiologist | 3460 Old Washington Rd, 203, Waldorf, MD 20602-3240 | 2014-07-24 |
1851720239 | Yuen Ling Wong Kong | Physician Assistant | 3460 Old Washington Rd, Suite 203a, Waldorf, MD 20602-3240 | 2013-11-05 |
1508200163 | Pharmvue Corporation | Pharmacy | 3460 Old Washington Rd, Suite 103, Waldorf, MD 20602-3240 | 2013-04-24 |
1932489523 | Dental & Prosthodontics Rehab Inc. | Clinic/Center | 3460 Old Washington Rd, Suite 102, Waldorf, MD 20602-3240 | 2011-08-26 |
1962793810 | Colleen Ingrid Rita Nanton | Physician Assistant | 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3240 | 2011-04-27 |
1437458809 | Center for Pain Management,llc | Pain Medicine | 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3240 | 2011-03-24 |
1720387517 | Joanna Kempler | Dentist | 3460 Old Washington Rd, Suite 102, Waldorf, MD 20602-3240 | 2011-03-20 |
1588962831 | Asc Development Company, LLC | Clinic/Center | 3460 Old Washington Rd, Ste 300, Waldorf, MD 20602-3240 | 2011-03-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
Find all providers in zip 20602 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851935597 | Udoka Euphemia Onukwugha | Nurse Practitioner | 603 Post Office Rd Ste 108, Waldorf, MD 20602-1914 | 2019-11-06 |
1891261301 | Gabriel Stanoiu | Nurse Practitioner | 3070 Crain Hwy Ste 101, Waldorf, MD 20601-2831 | 2018-10-23 |
1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
1548508278 | Hilda Mungen Chi | Nurse Practitioner | 5475 Saint Rita Dr, Waldorf, MD 20602-3277 | 2013-01-31 |
1275893794 | Nji Julius Fru | Nurse Practitioner | 2670 Crain Hwy Ste 408, Waldorf, MD 20601-2818 | 2012-05-17 |
1194323758 | Leticia Graciela Bustamante Sanchez | Nurse Practitioner | 2255 Crain Hwy Ste 107, Waldorf, MD 20601-3186 | 2020-10-15 |
1508423351 | Mary Dayo Adebowale | Nurse Practitioner | 3500 Old Washington Rd Ste 101, Waldorf, MD 20602-3205 | 2019-05-28 |
1760952410 | Angela S Barnes | Nurse Practitioner | 3460 Old Washington Rd Ste 300, Waldorf, MD 20602-3245 | 2018-11-26 |
1720553506 | Karen Lisa Wirth | Nurse Practitioner | 3581 Old Washington Rd, Waldorf, MD 20602-3270 | 2018-10-09 |
1710484886 | Laure Cecile Goudiaby | Nurse Practitioner | 3200 Crain Hwy, Waldorf, MD 20603-4841 | 2018-04-06 |
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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.