OLUFUNKE OMOWUMI AJAYI


Address: 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3240
Phone: 3016451523

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R181684 MD Physician Assistants & Advanced Practice Nursing Providers

Other Providers OLUFUNKE AJAYI

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

Office Location

Street Address 3460 OLD WASHINGTON RD
SUITE 300
City WALDORF
State MD
Zip Code 20602-3240

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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Competitor

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City WALDORF
Zip Code 20602

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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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