MOBOLAJI O AJAO (NPI# 1851522486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851522486 |
Entity Type | Individual |
Full Name | MOBOLAJI O AJAO |
Credential | MD |
Practice Address |
75 Francis St Asb1 3 - 073 Boston MA 02115-6110 |
Practice Telephone | 6175258582 |
Practice Fax Number | 6179750900 |
Mailing Telephone | 6175258582 |
Mailing Fax Number | 6179750900 |
Enumeration Date | 2009-07-30 |
Last Update Date | 2016-08-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 54025 | MN | Allopathic & Osteopathic Physicians |
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
258209 | MA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
75 FRANCIS ST ASB1 3 - 073 |
City | BOSTON |
State | MA |
Zip Code | 02115-6110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710980370 | Michael W Groff | Specialist | 75 Francis St, Neurosurgery, Boston, MA 02115-6110 | 2005-05-27 |
1841891405 | Judith Jordan Lauerman | Registered Nurse | 75 Francis St, Boston, MA 02115-6106 | 2020-11-02 |
1215535158 | Katherine Elizabeth Dubois | Social Worker | 75 Francis St, Boston, MA 02115-6106 | 2020-10-13 |
1720695935 | Kelly Casey | Nurse Practitioner | 75 Francis St, Boston, MA 02115-6110 | 2020-09-30 |
1104433556 | Laura Anne Murphy | Nuclear Medicine | 75 Francis St, Boston, MA 02115-6106 | 2020-09-29 |
1801402300 | Xiao Ou He | Radiology | 75 Francis St, Boston, MA 02115-6110 | 2020-09-20 |
1811503469 | Kelsey Killeen | Social Worker | 75 Francis St, Boston, MA 02115-6106 | 2020-09-18 |
1346855384 | Kendall Lenore Mehinagic | Physician Assistant | 75 Francis St, Boston, MA 02115-6110 | 2020-09-15 |
1689289027 | Rania El Fekih | Internal Medicine | 75 Francis St, Boston, MA 02115-6106 | 2020-09-12 |
1881206340 | Jean-francois Toupin | Radiology | 75 Francis St, Boston, MA 02115-6110 | 2020-08-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
Find all providers in zip 02115 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013925015 | Toni Beth Walzer | Obstetrics & Gynecology | 333 Longwood Avenue, Adolescent Gynecology, Boston, MA 02115 | 2006-08-04 |
1508824400 | Kenneth L Noller | Obstetrics & Gynecology | Box 324, Washington St., New England Medical Center, Boston, MA 02111 | 2006-05-02 |
1861955114 | Lise Ann Caldara | Obstetrics & Gynecology | 75 Francis St, Boston, MA 02115-6110 | 2019-04-12 |
1851687446 | Amy J Bregar | Obstetrics & Gynecology | 55 Fruit St, Boston, MA 02114 | 2011-06-22 |
1316246549 | Michelle Ruth Davis | Obstetrics & Gynecology | 75 Francis St, Boston, MA 02115-6110 | 2011-03-28 |
1073824835 | Lily Huiling Wu | Obstetrics & Gynecology | 330 Brookline Ave, Boston, MA 02215-5400 | 2010-06-27 |
1760623300 | Olav Istre | Obstetrics & Gynecology | 75 Francis St, Brigham & Women's Hospital Obgyn, Boston, MA 02115-6110 | 2009-03-11 |
1013157734 | Michael Joe Worley Jr. | Obstetrics & Gynecology | 75 Francis St, Boston, MA 02115-6110 | 2009-02-21 |
1790988798 | Louise P. King | Obstetrics & Gynecology | 75 Francis St, Boston, MA 02115-6110 | 2007-06-07 |
1760690358 | Roger Lefevre | Obstetrics & Gynecology | 330 Brookline Ave, Boston, MA 02215-5400 | 2007-05-18 |
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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.