DR. OLUMIDE OLOLADE ADEWUMI (NPI# 1083055453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083055453 |
| Entity Type | Individual |
| Full Name | DR. OLUMIDE OLOLADE ADEWUMI |
| Credential | MD |
| Practice Address |
500 Porter Ave Aurora MO 65605-2365 |
| Mailing Address |
Po Box 504274 Saint Louis MO 63150-4274 |
| Practice Telephone | 4176787888 |
| Mailing Telephone | 8554207900 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2016-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2016023769 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PENDING | 05 |
| Street Address |
500 PORTER AVE |
| City | AURORA |
| State | MO |
| Zip Code | 65605-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487610143 | St Johns of Aurora Hospital | Anesthesiology | 500 Porter Ave, Aurora, MO 65605-2365 | 2006-04-21 |
| 1780282863 | Jared Allen Pendergrass | Physician Assistant | 500 Porter Ave, Aurora, MO 65605-2365 | 2020-10-12 |
| 1871117697 | Jaci Lynn Woods | Dietitian, Registered | 500 Porter Ave, Aurora, MO 65605-2365 | 2020-06-08 |
| 1548709256 | Amber Johnson | Physician Assistant | 500 Porter Ave, Aurora, MO 65605-2365 | 2017-02-14 |
| 1477913853 | Travis James Bell | Physician Assistant | 500 Porter Ave, Aurora, MO 65605-2365 | 2016-02-29 |
| 1215313598 | Danielle C Schweke | Nurse Practitioner | 500 Porter Ave, Aurora, MO 65605-2365 | 2015-08-10 |
| 1093130098 | Tiffany Hilton | Physician Assistant | 500 Porter Ave, Aurora, MO 65605-2365 | 2014-02-27 |
| 1760783518 | Judy Loraine Carver | Dietitian, Registered | 500 Porter Ave, Aurora, MO 65605-2365 | 2010-11-10 |
| 1154599900 | Danny Lee Garton | Nurse Practitioner | 500 Porter Ave, Aurora, MO 65605-2365 | 2008-02-14 |
| 1891970901 | John D. Blackburn | Physical Therapist | 500 Porter Ave, Aurora, MO 65605-2365 | 2008-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030845 | Rhonda Kay Newton | Massage Therapist | 22768 Mo-39 Suite B, Aurora, MO 65605 | 2020-10-15 |
| 1134609712 | Regional Services | Nurse Practitioner | 305 W Prospect St, Aurora, MO 65605 | 2018-08-14 |
| 1932545977 | Ozark Tri-county Health Care Consortium | Clinic/Center | 1810 South Carnation Dr., Aurora, MO 65605 | 2013-05-17 |
| 1376884353 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 729 Highland Street, Aurora, MO 65605 | 2013-03-15 |
| 1518241587 | Holly Lynn Wade | Counselor | 1119 S Elliot, Aurora, MO 65605 | 2011-10-07 |
| 1760785265 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 721 E Highland Street, Aurora, MO 65605 | 2010-12-06 |
| 1740488147 | Marilyn Ruth Wachner | Social Worker | 1604 1 2 S Elliott, Aurora, MO 65605 | 2007-07-06 |
| 1942372248 | Patricia Ann Clark | Counselor | 112 S. Madison, Aurora, MO 65605 | 2006-11-14 |
| 1003994732 | Darren Gene Cook | Counselor | Lifecare Family Services, 112 S. Madison, Aurora, MO 65605 | 2006-11-01 |
| 1760517304 | Jeanette M Kristek | Speech-Language Pathologist | 409 W Locust St, Aurora Reorganized School Dist R-8, Aurora, MO 65605-1422 | 2007-02-23 |
| Find all providers in zip 65605 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1477039931 | Augustine Rios | Family Medicine | 1532 Galena St Ste 300, Aurora, CO 80010-2236 | 2018-07-17 |
| 1114411410 | Unnati Upadhyay | Family Medicine | 2020 Ogden Ave Ste 3302020, Aurora, IL 60504-5894 | 2018-06-20 |
| 1346763448 | Blue Nile Clinic | Family Medicine | 11275 E Mississippi Ave Ste 2s3, Aurora, CO 80012-2825 | 2017-07-20 |
| 1346775343 | 5th Ave Family Practice & Cosmetics Pllc | Family Medicine | 2044 Clinton St, Unit B, Aurora, CO 80010-1003 | 2017-04-27 |
| 1669824694 | Vivirmed LLC | Family Medicine | 630 N Lake St, Aurora, IL 60506-3106 | 2016-07-01 |
| 1386094332 | Sarah Weinstein | Family Medicine | Academic Office One, #3611, 12631 E 17th Ave, Ms 496, Aurora, CO 80045 | 2016-06-20 |
| Find all providers in AURORA | ||||
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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.