OLOLADE IKUOMOLA (NPI# 1114457421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114457421 |
| Entity Type | Individual |
| Full Name | OLOLADE IKUOMOLA |
| Credential | NP-C |
| Practice Address |
1124 Mace Ave Baltimore MD 21221-3315 |
| Practice Telephone | (410) 391-6996 |
| Practice Fax Number | 4106876877 |
| Mailing Telephone | 4103916996 |
| Mailing Fax Number | 4106876877 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R201929 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1124 MACE AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21221-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275548729 | Chukwuma Ebo | Internal Medicine | 1124 Mace Ave, Baltimore, MD 21221-3315 | 2006-07-30 |
| 1861892176 | Marc Singer Dpm Pa | Durable Medical Equipment & Medical Supplies | 1124 Mace Ave, Baltimore, MD 21221-3315 | 2014-08-25 |
| 1134536170 | Lauren Lokey | Nurse Practitioner | 1124 Mace Ave, Baltimore, MD 21221-3315 | 2014-07-22 |
| 1407275357 | Nebiyu Abiy Eshetu | Internal Medicine | 1124 Mace Ave, Baltimore, MD 21221-3315 | 2014-04-08 |
| 1285070870 | John Mansung Lee,m.d. | Internal Medicine | 1124 Mace Ave, Baltimore, MD 21221-3315 | 2013-05-22 |
| 1376893602 | Sherri A Fuget | Massage Therapist | 1124 Mace Ave, Baltimore, MD 21221 | 2012-09-13 |
| 1275849051 | John M Lee | Internal Medicine | 1124 Mace Ave, Baltimore, MD 21221-3315 | 2010-08-31 |
| 1043541253 | Chukwuma Ebo,m.d.,pa | Internal Medicine | 1124 Mace Ave, Baltimore, MD 21221-3315 | 2010-01-28 |
| 1255572921 | Sajid Arain,m.d.,pa | Internal Medicine | 1124 Mace Ave, Baltimore, MD 21221-3315 | 2009-03-10 |
| 1083854053 | John J Loh,d. O.,p A | Internal Medicine | 1124 Mace Ave, Baltimore, MD 21221-3315 | 2009-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760992879 | Mercy First Healthcare Solutions | Home Health | 1633 Renaissance Drive, Baltimore, MD 21221 | 2017-10-03 |
| 1659801686 | Preferred Mobility, LLC | Durable Medical Equipment & Medical Supplies | 7110 Golden Ring Rd, Suite 102, Essex, MD 21221 | 2017-06-13 |
| 1588116594 | Beverly Hogan | Speech-Language Pathologist | 8839 Kelso Drive Suite A & B, Essex, MD 21221 | 2016-10-26 |
| 1851764740 | Walgreens#2446 | Clinic/Center | 6 South Marlyn Ave, Essex, MD 21221 | 2015-11-02 |
| 1982070413 | Sonay Naqib | Dentist | 1346 Eastern Boulevard, Essex, MD 21221 | 2015-08-19 |
| 1225423411 | Vivid Home Care Service Inc | Home Health | 1111 Country Terrace Road, Apartment E, Essex, MD 21221 | 2015-04-03 |
| 1831584184 | Kfm Inc | Pharmacy | 901 Eastern Blvd, Suite 100, Essex, MD 21221 | 2015-04-03 |
| 1063811420 | Eliza Chappelle | Pharmacist | 500 Eastern Avenue, Baltimore, MD 21221 | 2014-08-21 |
| 1316350549 | Stephen Riggin Jr. | Pharmacist | 500 Eastern Ave., Essex, MD 21221 | 2014-06-05 |
| 1891118899 | Shiphrah Birthing Services | Midwife | 617 Stemmers Run Rd Ste E, Essex, MD 21221 | 2014-01-27 |
| Find all providers in zip 21221 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364192 | Folasade O Onasanya | Nurse Practitioner | 3312 Croydon Rd, Baltimore, MD 21207-4543 | 2020-10-23 |
| 1437785706 | Hajia M Nagaiya | Nurse Practitioner | 3525 Courtleigh Dr, Baltimore, MD 21244-2205 | 2020-03-19 |
| 1730654062 | Alaina Lourdes Frey | Nurse Practitioner | 3455 Wilkens Ave # L10, Baltimore, MD 21229-5213 | 2018-10-13 |
| 1336624113 | Optimum Family Clinic | Nurse Practitioner | 6014 Harford Rd, Baltimore, MD 21214-1327 | 2018-09-27 |
| 1538687140 | E & T Healthcare Enterprise | Nurse Practitioner | 8113 Hartford Road, Baltimore, MD 21234 | 2017-09-04 |
| 1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
| 1073050365 | Marla Brown | Nurse Practitioner | 6821 Reisterstown Rd Ste 106, Baltimore, MD 21215-1434 | 2017-01-24 |
| 1326443086 | Yury Malachevsky | Nurse Practitioner | 2435 W. Belvedere Avenue, Suite 22, Baltimore, MD 21215 | 2014-10-23 |
| 1174954499 | Neighborhood Wellness, LLC | Nurse Practitioner | 2401 Liberty Heights Avenue, Mondawmin Mall, Space 4625, Baltimore, MD 21215-8086 | 2013-12-12 |
| 1811261050 | Ashley Miller Salamone | Nurse Practitioner | 1800 Orleans Street Sheikh Zayed Tower, Suite 7125 F-1, Baltimore, MD 21287-0020 | 2012-03-06 |
| Find all providers in BALTIMORE | ||||
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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.