DR. OMOSALEWA ITAUMA (NPI# 1891922613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891922613 |
| Entity Type | Individual |
| Full Name | DR. OMOSALEWA ITAUMA |
| Other Name | DR. OMOSALEWA FIYINFOLUWA AKINYEMI |
| Credential | M.D. |
| Practice Address |
3956 Mount Elliott St Detroit MI 48207-1841 |
| Practice Telephone | 3139254540 |
| Mailing Telephone | 3139254540 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2015-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301098768 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3956 MOUNT ELLIOTT ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-1841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619985058 | Professional Medical Center PC | Family Medicine | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2006-08-03 |
| 1063982312 | Ellen L Anderson | Registered Nurse | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2018-11-29 |
| 1134620008 | Laneice Jones | Social Worker | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2018-02-26 |
| 1306271135 | Cassandra Rena Viney | Nurse Practitioner | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2013-09-11 |
| 1043561277 | Temitope Oladokun Olagbaiye | Nurse Practitioner | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2012-09-27 |
| 1497004527 | Kasheena T Shropshire | Nurse Practitioner | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2012-09-05 |
| 1568695179 | Angela Michele Allen | Nurse Practitioner | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2009-08-29 |
| 1407012834 | Henri Godbold | Internal Medicine | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2008-08-05 |
| 1811044118 | Pro Care Helath Plan Inc. | Health Maintenance Organization | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2007-01-05 |
| 1093725186 | Usha L Doshi | Pediatrics | 3956 Mount Elliott St, Detroit, MI 48207-1841 | 2006-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992009955 | Maurice-andre Recanati | Obstetrics & Gynecology | 4201 Saint Antoine St Ste 4c, Detroit, MI 48201-2153 | 2011-01-06 |
| 1194041830 | Eberechukwu Jill Azumah | Obstetrics & Gynecology | 5960 Bedford St, Detroit, MI 48224-2651 | 2010-04-19 |
| 1134383508 | Haider S Mahdi | Obstetrics & Gynecology | 3990 John R, 7 Brush North, Wayne State University/ Detroit Medical Center,obgyn, Detroit, MI 48201 | 2008-07-15 |
| 1609040484 | Yhfmc PC | Obstetrics & Gynecology | 15266 Grand River Ave, Detroit, MI 48227-2213 | 2008-04-14 |
| 1619191954 | F Seabrooks | Obstetrics & Gynecology | 19305 W 7 Mile Rd, Detroit, MI 48219-2718 | 2007-04-11 |
| 1326168188 | Mary Ibe | Obstetrics & Gynecology | 3980 John R, Detroit, MI 48201 | 2007-03-29 |
| 1144365545 | George W Gibson | Obstetrics & Gynecology | 15201 W Mcnichols Rd, Detroit, MI 48235-3717 | 2007-02-21 |
| 1780764712 | Romeo H Tabbilos | Obstetrics & Gynecology | 3011 West Grand Boulevard, Suite 428, Detroit, MI 48202 | 2006-10-16 |
| 1497862189 | Terry A Wynn | Obstetrics & Gynecology | 14103 Fenkell St, Detroit, MI 48227-3214 | 2006-08-25 |
| 1104856897 | Ann R Gillett-elrington | Obstetrics & Gynecology | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2006-07-05 |
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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.