OLUWADAMILOLA F OJUTALAYO (NPI# 1932411485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932411485 |
Entity Type | Individual |
Full Name | OLUWADAMILOLA F OJUTALAYO |
Credential | MD |
Practice Address |
81 Highland Ave Salem MA 01970 |
Mailing Address |
4820 W Taft Rd Ste 209 Liverpool NY 13088-2806 |
Practice Telephone | 9787411200 |
Mailing Telephone | 3154486215 |
Enumeration Date | 2010-07-12 |
Last Update Date | 2018-12-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
289987 | NY | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
277503 | MA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
4820 W Taft Rd Ste 209, Liverpool, NY 13088 | 3154486215 | |
55 Fruit St, Boston, MA 021142621 | 6177262000 |
Street Address |
81 HIGHLAND AVE |
City | SALEM |
State | MA |
Zip Code | 01970 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689668675 | Miriam Neuman | Specialist | 81 Highland Ave, Salem, MA 01970-2714 | 2005-09-06 |
1932727963 | Jessica Pepin | Registered Nurse | 81 Highland Ave, Salem, MA 01970-2714 | 2020-07-07 |
1659995157 | Jessica Low | Social Worker | 81 Highland Ave, Salem, MA 01970-2714 | 2020-06-01 |
1578184735 | Brooke Sauriol | Social Worker | 81 Highland Ave, Salem, MA 01970-2714 | 2020-04-29 |
1194346346 | Isaac Snow Pike | Social Worker | 81 Highland Ave, Salem, MA 01970-2714 | 2020-04-29 |
1164042032 | Rachel Barnum Rick | Nurse Practitioner | 81 Highland Ave, Salem, MA 01970-2714 | 2020-04-21 |
1932737350 | Mathew Brian Macey | Student in an Organized Health Care Education/Training Program | 81 Highland Ave, Salem, MA 01970-2768 | 2020-03-31 |
1013545797 | Zachary Abbott | Student in an Organized Health Care Education/Training Program | 81 Highland Ave, Salem, MA 01970-2768 | 2020-03-30 |
1275161887 | Evita Joseph | Student in an Organized Health Care Education/Training Program | 81 Highland Ave, Salem, MA 01970-2714 | 2020-03-30 |
1962030726 | George Joseph Kavalam | Student in an Organized Health Care Education/Training Program | 81 Highland Ave, Salem, MA 01970-2714 | 2020-03-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
Find all providers in zip 01970 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992902555 | Sohah N Iqbal | Internal Medicine | 81 Highland Ave, Salem, MA 01970-2714 | 2007-06-28 |
1861695165 | Hrishikesh S Iyengar | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2007-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699965723 | Alicia S Romero | Internal Medicine | 14 Everett St, Apt. #1, Allston, MA 02134-1996 | 2007-07-25 |
1295845600 | Raghavan Amarasingham | Internal Medicine | Veterans Admin Medical Center, 200 Springs Road, Bedford, MA 01730 | 2006-08-30 |
1124053277 | Charles M Gibson | Internal Medicine | 350 Longwood Ave, 1st Floor, Boston, MA 02115-5726 | 2006-07-11 |
1275569972 | Christopher T. Pyne | Internal Medicine | Lahey Clinic 41 Mall Rd, Burlington, MA 01805-0001 | 2006-06-24 |
1215975578 | Timothy James Larkin | Internal Medicine | 75 Herrick St. Suite 206, Lahey Cardiology, Beverly, Beverly, MA 01915-5900 | 2006-06-02 |
1659318335 | Samuel J Shubrooks Jr. | Internal Medicine | 1 Deaconess Rd,baker 4, Beth Israel Deaconess Medical Ctr, Boston, MA 02215 | 2006-06-01 |
1255339917 | David M Desimone | Internal Medicine | 305 Massachusetts Ave, Arlington, MA 02474-8310 | 2005-07-07 |
1033112610 | Edward J Loughery | Internal Medicine | 480 Maple Street, Northeast Cardiology, Danvers, MA 01923 | 2005-05-27 |
1437152246 | Mohan Govindan | Internal Medicine | 33 Bartlett St, Suite 206, Lowell, MA 01852-1334 | 2005-05-24 |
1639784408 | Pankaj Jain | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2020-09-09 |
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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.