OLUWAFUNMI ONAOPEMIPO AWONUGA (NPI# 1790003093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790003093 |
| Entity Type | Individual |
| Full Name | OLUWAFUNMI ONAOPEMIPO AWONUGA |
| Credential | M.D. |
| Practice Address |
25 Monument Rd Ste 190 York PA 17403-5059 |
| Mailing Address |
800 Rose St # C246 Lexington KY 40536-0293 |
| Practice Telephone | 7178516454 |
| Practice Fax Number | 7178511665 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 4155 | KY | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD461014 | PA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4155 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 619 19th St S, Birmingham, AL 352491900 | 2059343065 |
| Street Address |
25 MONUMENT RD STE 190 |
| City | YORK |
| State | PA |
| Zip Code | 17403-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114074424 | Norman Scott Yoder | Physician Assistant | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2007-01-05 |
| 1891260477 | Misty Lynn Ostasewski | Nurse Practitioner | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2018-10-10 |
| 1336664382 | Mariannette Calon-munoz | Nurse Practitioner | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2017-08-11 |
| 1104221415 | Stephanie Ann Sanders | Nurse Practitioner | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2014-10-29 |
| 1730598053 | Sedney Pabon | Nurse Practitioner | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2014-08-12 |
| 1023441391 | Linda T Farjo | Nurse Practitioner | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2013-08-09 |
| 1881971927 | Lori Nicole Brackbill | Physician Assistant | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2011-11-03 |
| 1992097562 | Scott Tiedebohl | Surgery | 25 Monument Rd Ste 190, York, PA 17403-5059 | 2011-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113286 | Maria Frances Defelice | Social Worker | 1902 Woodland Rd, York, PA 17403 | 2020-01-11 |
| 1710524335 | White Deer Run LLC | Community/Behavioral Health | 257 E Market Street, 2nd Floor, York, PA 17403 | 2019-12-02 |
| 1275016917 | Laura Anne Wanenchak | Speech-Language Pathologist | Genesis Rehab Services, 2760 Pine Grove Road, York, PA 17403 | 2018-09-10 |
| 1306355771 | Emily Good | Occupational Therapist | 34 N Albemarle St, York, PA 17403 | 2017-09-28 |
| 1275054983 | Lindsay Sentz | Nurse Anesthetist, Certified Registered | 110 Pine Grove Commons, York, PA 17403 | 2017-07-03 |
| 1649721713 | Omasiel Herenia Comrie-reinert | Nurse Practitioner | 2690 Southfield Dr Ste A, York, PA 17403 | 2016-10-24 |
| 1144675703 | Audrey C Hess | Dietitian, Registered | 35 Monument Rd Suite 202, Wellspan Maternal Fetal Medicine, York, PA 17403 | 2016-05-02 |
| 1346616505 | Joseph A Tolomeo | Psychologist | 807 S. George St, York, PA 17403 | 2015-08-11 |
| 1750798328 | Charles W. Hash Jr. | Surgery | 1400 E. Market St., York, PA 17403 | 2014-07-16 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Find all providers in zip 17403 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396265591 | Pinnacle Health Regional Physicians | Surgery | 1600 6th Ave Ste 108, York, PA 17403-2626 | 2017-06-20 |
| 1710016787 | Advanced Vein and Laser Center,inc. | Surgery | 191 Leaders Heights Rd, York, PA 17402-4735 | 2007-03-05 |
| 1013086628 | Nancy Lynn Harthun | Surgery | 25 Monument Rd, Ste 190, York, PA 17403-5060 | 2006-11-07 |
| 1992769111 | Steven B Heird | Surgery | 191 Leaders Heights Rd, York, PA 17402-4735 | 2006-04-14 |
| 1932163169 | Jose R Parra | Surgery | 25 Monument Rd, Suite 105, York, PA 17403-5060 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1932610755 | Vascular Surgical Specialists Pllc | Surgery | 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 | 2017-10-19 |
| 1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
| 1437525490 | Advanced Vein and Laser Center Lancaster, LLC | Surgery | 896a Plaza Blvd, Lancaster, PA 17601-2745 | 2015-08-13 |
| 1447658877 | Center for Vein Restoration Pa Pllc | Surgery | 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 | 2014-12-17 |
| 1023423167 | Catherine Go | Surgery | 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 | 2014-06-27 |
| 1659703635 | Walter J. Fagan | Surgery | 211 Center Ave, Jim Thorpe, PA 18229-1205 | 2013-08-01 |
| 1346521267 | Usa Vein Clinics of Philadelphia LLC | Surgery | 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2011-09-06 |
| 1124314893 | Nathan Loren Liang | Surgery | 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 | 2011-06-21 |
| 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.