OLUMIDE T OMOBO (NPI# 1982139119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982139119 |
| Entity Type | Individual |
| Full Name | OLUMIDE T OMOBO |
| Credential | M.D. |
| Practice Address |
106 Bow St Elkton MD 21921-5544 |
| Practice Telephone | 4103984000 |
| Mailing Telephone | 4103984000 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2020-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
106 BOW ST |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-5544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159381 | Professional Diagnostics, LLC | Pathology | 106 Bow St, Elkton, MD 21921-5544 | 2005-07-21 |
| 1518580687 | Megan Dawson Hunt | Occupational Therapist | 106 Bow St, Elkton, MD 21921-5544 | 2020-05-24 |
| 1053934406 | Bhrugisha R Patel | Pharmacist | 106 Bow St, Elkton, MD 21921-5596 | 2020-05-20 |
| 1255953055 | Sean Reilly | Pharmacist | 106 Bow St, Elkton, MD 21921-5544 | 2020-05-14 |
| 1275161408 | Dominic M Omwenga | Nurse Practitioner | 106 Bow St, Elkton, MD 21921-5544 | 2020-04-01 |
| 1346717790 | Maura Ann Tunney | Social Worker | 106 Bow St, Elkton, MD 21921-5544 | 2018-10-24 |
| 1922598929 | Usacs Integrated Acute Care Services of Maryland, LLC | Internal Medicine | 106 Bow St, Elkton, MD 21921-5544 | 2018-05-15 |
| 1417445610 | Union Hospital of Cecil County Health Services, Inc. | Pharmacy | 106 Bow St, Elkton, MD 21921-5544 | 2018-04-24 |
| 1700373289 | Lisa Marie Beavers | Nurse Practitioner | 106 Bow St, Elkton, MD 21921-5544 | 2018-04-19 |
| 1861908634 | William R Steward Jr. | Social Worker | 106 Bow St, Elkton, MD 21921-5544 | 2017-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094498 | Carly Baczkowski | Student in an Organized Health Care Education/Training Program | 226 Manor Cir, Elkton, MD 21921-6385 | 2020-02-09 |
| 1295399848 | Aryeh L Richter | Student in an Organized Health Care Education/Training Program | 306 W Pulaski Hwy, Elkton, MD 21921-5217 | 2019-04-30 |
| 1902377708 | Felicia Kriner | Student in an Organized Health Care Education/Training Program | 200 Booth St, Elkton, MD 21921-5657 | 2018-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355879 | Cristina Diana Ghinda | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St Bldg 8, Baltimore, MD 21287-0005 | 2020-10-27 |
| 1427657220 | Jonathan Robert Sligh | Student in an Organized Health Care Education/Training Program | 36 S Aurora St Apt A, Easton, MD 21601-3535 | 2020-10-22 |
| 1629676655 | Sam L Allen | Student in an Organized Health Care Education/Training Program | 705 Colby Ave, Takoma Park, MD 20912-5439 | 2020-10-12 |
| 1851999106 | Thanhthao Hoang Le | Student in an Organized Health Care Education/Training Program | 5023 Adrian St, Rockville, MD 20853-3705 | 2020-10-09 |
| 1003413345 | Nada S Wilson | Student in an Organized Health Care Education/Training Program | Vesta, 9301 Annapolis Rd, Lanham, MD 20706-1001 | 2020-10-08 |
| 1245837558 | Carol Luree Eckerl | Student in an Organized Health Care Education/Training Program | 673 Cedar Dr, Pasadena, MD 21122-4450 | 2020-10-08 |
| 1073120523 | Raymon Darby | Student in an Organized Health Care Education/Training Program | 5407 Macbeth St, Hyattsville, MD 20784-1009 | 2020-09-29 |
| 1508473273 | Nadia Nasir | Student in an Organized Health Care Education/Training Program | 4710 Bethesda Ave Apt 1512, Bethesda, MD 20814-5226 | 2020-09-28 |
| 1790391548 | Emily Kendrick Szachnowicz | Student in an Organized Health Care Education/Training Program | 1100 Paca Dr, Edgewater, MD 21037-4126 | 2020-09-17 |
| 1851906044 | Christela Turner | Student in an Organized Health Care Education/Training Program | 4710 Wilwyn Way, Rockville, MD 20852-2457 | 2020-09-14 |
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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.