DR. OLUFUNKE O AJAYI (NPI# 1093195489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093195489 |
| Entity Type | Individual |
| Full Name | DR. OLUFUNKE O AJAYI |
| Other Name | DR. OLUFUNKE IKUOPENIKAN |
| Credential | MBBS |
| Practice Address |
Centracare Clinic St Cloud Medical Group South 1301 33rd St S Saint Cloud MN 56301-9668 |
| Practice Telephone | 3202518181 |
| Practice Fax Number | 3202571733 |
| Mailing Telephone | 3202518181 |
| Mailing Fax Number | 3202571733 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 63031 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710437546 | Olufunke Omowumi Ajayi | Nurse Practitioner | 3460 Old Washington Rd, Suite 300, Waldorf, MD 20602-3240 | 2016-10-05 |
| Street Address |
CENTRACARE CLINIC ST CLOUD MEDICAL GROUP SOUTH 1301 33RD ST S |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1851825343 | Adventist Health System/sunbelt, Inc. | Family Medicine | 4660 13th St, Saint Cloud, FL 34769-6765 | 2017-04-12 |
| 1871045377 | Anthony Joseph Picconatto | Family Medicine | 1900 Centracare Cir Ste 1450, Saint Cloud, MN 56303-5000 | 2016-10-31 |
| 1417180043 | Premier Life Health Services, LLC | Family Medicine | 4737 Old Canoe Creek Road, Saint Cloud, FL 34769-0000 | 2009-08-31 |
| 1023269438 | Elba Ener Masid | Family Medicine | 4513 Old Canoe Creek Rd, Saint Cloud, FL 34769-1551 | 2008-10-03 |
| 1124211164 | Access Pronto Family Medicine P A | Family Medicine | 2918 17th St, Saint Cloud, FL 34769-6018 | 2007-08-23 |
| 1205856705 | Ahmed Quaye Aidoo | Family Medicine | 3501 13th St, Saint Cloud, FL 34769-4054 | 2006-07-20 |
| 1437106986 | Clarice Hanks Konshok | Family Medicine | 1555 Northway Dr Ste 200, Saint Cloud, MN 56303-4913 | 2006-05-30 |
| 1811949415 | Carmen Ana Sierra | Family Medicine | 4741 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 | 2006-05-16 |
| 1023069960 | Tanya M Medina | Family Medicine | 618 13th St, Ste A, Saint Cloud, FL 34769-4503 | 2006-05-15 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
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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.