Temitope A Olumoko (NPI# 1154511889, PAC ID# 7214214261) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1154511889 |
| PAC ID by PECOS | 7214214261 |
| Professional Enrollment ID | I20170501001632 |
| Full Name | Temitope A Olumoko |
| Organization Legal Name | BON SECOURS HOSPITAL BALTIMORE INC |
| Address |
1940 W Baltimore St Fl 3 Bon Secours Family Health and Welln Baltimore MD 21223-2245 |
| Phone Number | 4103623612 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0446216832 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210013 | BON SECOURS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1940 W Baltimore St Fl, 3 Bon Secours Family Health and Welln, Baltimore, MD 21223-2245 | 4103623612 | BON SECOURS HOSPITAL BALTIMORE INC |
| Organization Legal Name | BON SECOURS HOSPITAL BALTIMORE INC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tadele W Alemu | Physician Assistant | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Mohamed S Dauda | Hospitalist | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Shanta H Powell | Psychiatry | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Department of Behavioral Health, Baltimore, MD 21223-1558 |
| Shin-bey Chang | Psychiatry | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Department of Behavioral Health, Baltimore, MD 21223-1558 |
| Susan J Boyd | Psychiatry | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Department of Behavioral Health, Baltimore, MD 21223-1558 |
| Kwang B Lee | Anesthesiology | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Patricia Caraballo Osorio | Psychiatry | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Department of Behavioral Health, Baltimore, MD 21223-1558 |
| Michele C Baxter | Certified Registered Nurse Anesthetist (crna) | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Camellus O Ezeugwu | Internal Medicine | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Homayoon G Moghbeli | Cardiovascular Disease (cardiology) | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Street Address |
1940 W BALTIMORE ST FL 3 BON SECOURS FAMILY HEALTH AND WELLN |
| City | BALTIMORE |
| State | MD |
| Zip | 21223-2245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Felicia D Bailey | Nurse Practitioner | Bon Secours Hospital Baltimore Inc | 1940 W Baltimore St Fl, 3 Bon Secours Family Health and Welln, Baltimore, MD 21223-2245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tibebe Haile | Internal Medicine | Mdics At Bon Secours LLC | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Tadele W Alemu | Physician Assistant | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Mohamed S Dauda | Hospitalist | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Shanta H Powell | Psychiatry | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Department of Behavioral Health, Baltimore, MD 21223-1558 |
| Shin-bey Chang | Psychiatry | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Department of Behavioral Health, Baltimore, MD 21223-1558 |
| Susan J Boyd | Psychiatry | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Department of Behavioral Health, Baltimore, MD 21223-1558 |
| Kwang B Lee | Anesthesiology | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Patricia Caraballo Osorio | Psychiatry | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Department of Behavioral Health, Baltimore, MD 21223-1558 |
| Michele C Baxter | Certified Registered Nurse Anesthetist (crna) | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Camellus O Ezeugwu | Internal Medicine | Bon Secours Hospital Baltimore Inc | 2000 W Baltimore St, Baltimore, MD 21223-1558 |
| Find all physicians in zip 21223 | |||
| City | BALTIMORE |
| Zip Code | 21223 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BALTIMORE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Temitope A Olumoko.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.