DR. BENJAMIN A ADEWALE (NPI# 1790702132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790702132 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN A ADEWALE |
| Other Name | BENJAMIN ADEWALE |
| Credential | MD |
| Practice Address |
7011 Calamo St #105 Springfield VA 22150 |
| Mailing Address |
Po Box 8057 Alexandria VA 22306-8057 |
| Practice Telephone | 7035698028 |
| Practice Fax Number | 7035698085 |
| Mailing Telephone | 7035698028 |
| Mailing Fax Number | 7035698085 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD22004 | DC | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
D50874 | MD | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0101054165 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 2033020-00 | 05 | |
| DC | 4401280 | 05 | |
| VA | 7107820 | 05 |
| Street Address |
7011 CALAMO ST #105 |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174540504 | Johnson Komolafe | Nurse Practitioner | 7011 Calamo St, #105, Springfield, VA 22150 | 2006-07-15 |
| 1346267770 | Eunice Okoro | Nurse Practitioner | 7011 Calamo St, Ste 105, Springfield, VA 22150-3500 | 2006-07-15 |
| 1821015264 | Benjamin Adewale Md PC | Clinic/Center | 7011 Calamo St, #105, Springfield, VA 22150 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086946 | Karla Maria Bonilla Chico | Dentist | Privada Monte Everest 1982-14, Residencial La Cuspide, Tijuana, BAJA CALIFORNIA 22150 | 2015-10-30 |
| 1093108219 | Ezra Healthcare, Inc | Home Health | 6803 Backlick Road, Suit 'b', Springfield, VA 22150 | 2015-03-12 |
| 1144611567 | Grace Home Care, LLC | Home Health | 5827 Columbia Pike Suite 211, Springfield, VA 22150 | 2015-02-06 |
| 1174938245 | Rocio Robles | Speech-Language Pathologist | 7001 A Loisdale Road, Springfield, VA 22150 | 2014-06-26 |
| 1538598149 | Johns Hopkins Pharmaquip, Inc. | Durable Medical Equipment & Medical Supplies | 7411 Alban Station Court, Suite A100, Springfield, VA 22150 | 2013-11-04 |
| 1861785958 | Sienna Vorono Winer | Pediatrics | 6501 Loisdale Ct., Springfield, VA 22150 | 2011-05-23 |
| 1023342870 | M & T Universal Health Services, LLC | Home Health | 6315 Backlick Rd Ste 308, Springfield, VA 22150 | 2009-09-28 |
| 1316127533 | Yong Hyun Kim | Dentist | 6525-c Frontier Dr., Springfield, VA 22150 | 2007-11-05 |
| 1437234655 | Metropolitan Radiology Assoc Chtd | Radiology | 6128 Brandon Avenue, Suite 205, Springfield, VA 22150 | 2006-10-26 |
| 1033217179 | Allison Nayer | Occupational Therapist | The Chesapeake Center, Inc., 6506 Loisdale Rd., Suite 300, Springfield, VA 22150 | 2006-09-20 |
| Find all providers in zip 22150 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1316441470 | Earl Randolph Hackett | Psychiatry & Neurology | 2517 S. Brentwood, Springfield, MO 65804-3201 | 2018-03-22 |
| 1336668326 | Western Mass Neurology PC | Psychiatry & Neurology | 175 Carew St Ste 140, Springfield, MA 01104-2389 | 2017-09-12 |
| 1407111313 | Pavan Tummala | Psychiatry & Neurology | 3800 S National Ave Ste 900, Springfield, MO 65807-5209 | 2012-07-06 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1053553560 | Quantum Total Health | Psychiatry & Neurology | 607 S Locust St, Springfield, TN 37172 | 2009-03-30 |
| 1154513687 | Fazeel Mukhtar Siddiqui | Psychiatry & Neurology | 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 | 2007-08-17 |
| 1164593646 | Michael Balm | Psychiatry & Neurology | 1 Hayden Bridge Way Ste 410, Springfield, OR 97477-1347 | 2006-11-13 |
| 1881638591 | Rodney D Quinn | Psychiatry & Neurology | 3801 S National Ave # 900, Springfield, MO 65807-5210 | 2006-06-15 |
| 1750332771 | Sleep Medicine Services of Western Massachusetts LLC | Psychiatry & Neurology | 3640 Main St Ste 208, Springfield, MA 01107-1192 | 2006-05-15 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22150 |
Please comment or provide details below to improve the information on DR. BENJAMIN A ADEWALE.
| 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.