DR. OLATOKUNBO MADUPE ADENIYI (NPI# 1174621809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174621809 |
| Entity Type | Individual |
| Full Name | DR. OLATOKUNBO MADUPE ADENIYI |
| Credential | M.D. |
| Practice Address |
5125 Jonestown Rd Ste 105 Harrisburg PA 17112-2987 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 7179431566 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD464185 | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 35.133438 | OH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 21580 | WV | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 35.133438 | OH | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 21580 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810000897 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1901 Argonne Rd, Portsmouth, OH 456622827 | 7409910911 | 7409916050 |
| 429 Smithfield St, Anmoore, WV 26323 | 3046236300 | 3046231006 |
| Street Address |
5125 JONESTOWN RD STE 105 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17112-2987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144284654 | Andrea Marie Requa | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-04-12 |
| 1750641825 | Jamie L Cantafio | Physician Assistant | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2012-05-23 |
| 1720215700 | Rebekah Renee Wickenheiser | Physician Assistant | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2009-06-17 |
| 1568583722 | David Philip Frank | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2007-04-03 |
| 1558378299 | Jose Arcadio Biboso | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-08-02 |
| 1932145190 | Patricia Logan Farley | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-06-22 |
| 1023074937 | Melissa Denham | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-04-21 |
| 1780649772 | Esmeralda Maldia Del Rosario | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-04-20 |
| 1477518215 | Ellen Marie Crimmel | Family Medicine | 5125 Jonestown Rd Ste 105, Harrisburg, PA 17112-2987 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549928 | Purposefully Soaring Counseling Services LLC | Counselor | 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 | 2018-12-12 |
| 1558839175 | Blue Diamond Homecare LLC | In Home Supportive Care | 2799 Monticello Ln, Harrisburg, PA 17112 | 2018-11-13 |
| 1326539057 | Erin Elizabeth Jones | Student in an Organized Health Care Education/Training Program | 121 Nyes Road Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-29 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1427576024 | Lauren Rittle | Specialist/Technologist | 4426 Greenridge Lane, Harrisburg, PA 17112 | 2017-09-03 |
| 1255856233 | Jan Eiko Ikeda | Physical Therapist | 5425 Jonestown Road, Suite 100, Harrisburg, PA 17112 | 2017-08-10 |
| 1417471574 | Luke Borden Berguson | Physical Therapist | 5425 Jonestown Rd Ste 100, Harrisburg, PA 17112 | 2017-07-31 |
| 1578931374 | Kelsey Janelle Wallen | Physical Therapist | 5425 Jonestown Road Ste. 100, Harrisburg, PA 17112 | 2015-09-10 |
| 1609276195 | Matthew Edward Conroy | Physical Therapist | 5425 Jonestown Road, Ste. 100, Outpatient Physical Therapy Network, LLC D/b/a Madden P, Harrisburg, PA 17112 | 2014-09-03 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| Find all providers in zip 17112 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1952721128 | Michael John Mesaros Jr. | Internal Medicine | 5071 Bass Lake Dr, #2003, Harrisburg, PA 17111-5858 | 2014-04-25 |
| 1497185359 | Alfred Roger Chappelka Jr. | Internal Medicine | 1525 N. Front St Unit 202, Harrisburg, PA 17102 | 2013-11-13 |
| 1912347774 | Esther Chinedu Enu | Internal Medicine | 205 S. Front St, Harrisburg, PA 17101 | 2013-06-26 |
| 1568809812 | Silpa Kosuri | Internal Medicine | 205 S Front St Ste 3c, Harrisburg, PA 17104-1619 | 2013-05-28 |
| 1477841468 | Chad Michael Ward | Internal Medicine | 1199 Colonial Road, Harrisburg, PA 17712-1952 | 2011-07-12 |
| 1700079431 | Heather Elizabeth Stock | Internal Medicine | 4510 N Progress Ave, Harrisburg, PA 17110-3925 | 2007-08-27 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17112 |
Please comment or provide details below to improve the information on DR. OLATOKUNBO MADUPE ADENIYI.
| 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.