DR. ADESUWA BENEDICTA OLOMU (NPI# 1316041668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316041668 |
| Entity Type | Individual |
| Full Name | DR. ADESUWA BENEDICTA OLOMU |
| Credential | M.D |
| Practice Address |
804 Service Rd Suite A225 East Lansing MI 48824-7015 |
| Mailing Address |
804 Service Rd # A201 East Lansing MI 48824-7015 |
| Practice Telephone | 5173534941 |
| Practice Fax Number | 5174323145 |
| Mailing Telephone | 5178842976 |
| Mailing Fax Number | 5174323928 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2016-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301071390 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4227291 | 05 | |
| MI | 1316041668 | 05 |
| Street Address |
804 SERVICE RD SUITE A225 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48824-7015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355042 | Elizabeth Hengstebeck | Family Medicine | 804 Service Rd, A142, East Lansing, MI 48824-7015 | 2005-06-10 |
| 1467906271 | Barbara Mitchell | Nurse Practitioner | 804 Service Rd, A217, East Lansing, MI 48824-7015 | 2016-08-09 |
| 1578946406 | Prajwal Dhakal | Internal Medicine | 804 Service Rd, A225, East Lansing, MI 48824-7015 | 2015-07-09 |
| 1184007890 | Omar Albanyan | Internal Medicine | 804 Service Rd, A225 Clinical Center, East Lansing, MI 48824-7015 | 2015-06-30 |
| 1942681226 | Laura Bohatch | Internal Medicine | 804 Service Rd, A-225 Clinical Center, East Lansing, MI 48824-7015 | 2015-06-12 |
| 1225417850 | Georgette Cooke | Internal Medicine | 804 Service Rd, A-225 Clinical Center, East Lansing, MI 48824-7015 | 2015-05-28 |
| 1326427931 | Negar Salehi | Internal Medicine | 804 Service Rd, A-225 Clinical Center, East Lansing, MI 48824 | 2015-05-28 |
| 1871900563 | Tariq Khalid Alrasheed | Internal Medicine | 804 Service Rd, Room A-225, East Lansing, MI 48824-7021 | 2014-07-15 |
| 1851716732 | Christie Daiss | Pharmacist | 804 Service Rd, A-101, East Lansing, MI 48824-7021 | 2014-02-28 |
| 1538583380 | Jane French | Pharmacist | 804 Service Rd, East Lansing, MI 48824-7021 | 2014-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680303 | Emilia Elizabeth Mattioli | Psychiatry & Neurology | 965 Fee Road Room A223, East Lansing, MI 48824 | 2020-05-14 |
| 1447871983 | James O'brien | Psychiatry & Neurology | Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2020-05-06 |
| 1750916979 | Mulin Xiong | Student in an Organized Health Care Education/Training Program | 965 Wilson Road Suite A110, East Fee Hall, East Lansing, MI 48824 | 2020-03-09 |
| 1821659301 | Tovah Apolonia Aho | Psychiatry & Neurology | Michigan State University Psychiatric Residency, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-06-25 |
| 1912564881 | Asmara Theresa Hoo | Psychiatry & Neurology | 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-05-24 |
| 1790276822 | Traverse Health Clinic and Coalition | Clinic/Center | East Fee Hall 965 Fee Road, Room A222, East Lansing, MI 48824 | 2018-05-24 |
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1073003257 | Dawn Arvye Contreras | Health Educator | 446 West Circle Dr., Justin S. Morrill Hall of Agriculture, Room 166, East Lansing, MI 48824 | 2018-05-14 |
| 1710406046 | Kimberly Ann Breukink | Social Worker | 463 East Circle Drive, Michigan State University, Counseling and Psychiatric Services, East Lansing, MI 48824 | 2017-09-19 |
| 1043766314 | Ahmed Jouan | Psychiatry & Neurology | 804 Service Rd A217, East Lansing, MI 48824 | 2016-08-28 |
| Find all providers in zip 48824 | ||||
| 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 |
|---|---|---|---|---|
| 1366929457 | Thamer Saad Almalki | Internal Medicine | 788 Service Rd Rm B-301, East Lansing, MI 48824-7013 | 2018-07-23 |
| 1740776574 | Ayat Khidir Abdelgadir | Internal Medicine | 788 Service Rd, East Lansing, MI 48824-7013 | 2018-07-04 |
| 1316460215 | Samanjit Kaur Kandola | Internal Medicine | 804 Service Rd Rm A-225, East Lansing, MI 48824-7015 | 2017-07-23 |
| 1538689740 | Shiva Shrotriya | Internal Medicine | 788 Service Rd # B337, East Lansing, MI 48824-7013 | 2017-06-20 |
| 1780138958 | Clifford Schuyler Hale | Internal Medicine | 605 Pebblebrook Ln, East Lansing, MI 48823-2159 | 2016-08-05 |
| 1447611124 | Steven Ryan Do | Internal Medicine | 788 Service Rd # B339, East Lansing, MI 48824-7013 | 2016-03-09 |
| 1942682471 | Afshan Khan | Internal Medicine | 788 Service Rd Rm B301, East Lansing, MI 48824-7013 | 2015-06-20 |
| 1346652245 | Kyunghee Burkitt | Internal Medicine | 804 Service Rd Rm A225, Clinical Center, East Lansing, MI 48824-7040 | 2014-05-27 |
| 1669811444 | Suwen Kumar | Internal Medicine | 138 Service Rd Rm A225, East Lansing, MI 48824-1376 | 2013-06-14 |
| 1700129509 | Edward W Sparrow Hospital Association | Internal Medicine | 2900 Hannah Blvd Ste B107, East Lansing, MI 48823-5374 | 2013-03-29 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48824 |
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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.