DR. OLUDAMILOLA WURAOLA OLULEYE (NPI# 1841550357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841550357 |
| Entity Type | Individual |
| Full Name | DR. OLUDAMILOLA WURAOLA OLULEYE |
| Credential | M.D., M.P.H. |
| Practice Address |
3000 32nd Ave South Fargo ND 58103 |
| Mailing Address |
4500 San Pablo Rd S Jacksonville FL 32224-1865 |
| Practice Telephone | 7013648000 |
| Mailing Telephone | 9049530426 |
| Mailing Fax Number | 9049530430 |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
14866 | ND | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME123002 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 San Pablo Rd S, Jacksonville, FL 322241865 | 9049530426 | 9049530430 |
| Street Address |
3000 32ND AVE SOUTH |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427024538 | Antonio Eduardo Marinos | Internal Medicine | 3000 32nd Ave South, Fargo, ND 58103-6132 | 2006-02-28 |
| 1013282425 | Razvan Nicolescu | Orthopaedic Surgery | 3000 32nd Ave South, Fargo, ND 58103-6132 | 2012-03-19 |
| 1811164205 | Kirk D. Stevens | Anesthesiology | 3000 32nd Ave South, Fargo, ND 58103-6132 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841245743 | Larry Steven Sidaway | Internal Medicine | 3000 32nd Avenue South, Essentia Health 32nd Avenue Clinic, Fargo, ND 58103-6132 | 2006-05-23 |
| 1497872675 | Jaise Thekkan Poulose | Internal Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2007-03-23 |
| 1861575573 | Ralph Enrique Morales | Internal Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-10-24 |
| 1376565960 | Joshua Wynne | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-24 |
| 1134140353 | Wallace E Radtke | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-22 |
| 1063430619 | Jonathan L Dickson | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-18 |
| 1871511436 | Craig R Kouba | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-18 |
| 1932127537 | Christopher L Pierce | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-18 |
| 1063430791 | David J Clardy | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-18 |
| 1437176906 | Manuel R Otero-cagide | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-17 |
| Find all providers in FARGO | ||||
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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.