DR. OLUKEMI AJAYI OLUGEMO (NPI# 1508901281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508901281 |
Entity Type | Individual |
Full Name | DR. OLUKEMI AJAYI OLUGEMO |
Other Name | DR. OLUKEMI FEHINTOLA AJAYI |
Credential | M.D. |
Practice Address |
11637 Terrace Dr Suite 100 Waldorf MD 20602-3706 |
Mailing Address |
3525 Ellerton Rd Bowie MD 20716-3926 |
Practice Telephone | 3018707287 |
Mailing Telephone | 4439282835 |
Mailing Fax Number | 3018050161 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2008-01-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
D0065357 | MD | Allopathic & Osteopathic Physicians |
Street Address |
11637 TERRACE DR SUITE 100 |
City | WALDORF |
State | MD |
Zip Code | 20602-3706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932192150 | Michael K Greenberg | Psychiatry & Neurology | 11637 Terrace Dr, Ste 100, Waldorf, MD 20602-3706 | 2005-08-23 |
1639522659 | Roche Watson | Nurse Practitioner | 11637 Terrace Dr, Waldorf, MD 20602-3706 | 2016-07-14 |
1184969461 | Thomas M. Kline, D.c.,p.a. | Clinic/Center | 11637 Terrace Dr, Ste. 101, Waldorf, MD 20602-3706 | 2012-11-28 |
1598028649 | Virginia Noftsier | Physician Assistant | 11637 Terrace Dr, Suite 100, Waldorf, MD 20602-3706 | 2012-06-22 |
1619148608 | Thomas M. Kline D.c.,p.a. | Chiropractor | 11637 Terrace Dr, Suite 101, Waldorf, MD 20602-3706 | 2008-03-18 |
1427245745 | Jariwala Health Services LLC | Family Medicine | 11637 Terrace Dr, Suite 103, Waldorf, MD 20602-3706 | 2007-10-01 |
1992832208 | Gail Francis Tarlton | Nurse Practitioner | 11637 Terrace Dr, Suite 100, Waldorf, MD 20602 | 2007-02-27 |
1407953219 | Ashebir Woldeabezgi Md PC | Internal Medicine | 11637 Terrace Dr, Suite 103, Waldorf, MD 20602-3706 | 2006-09-20 |
1598794646 | Ashebir Gebru Woldeabezgi | Internal Medicine | 11637 Terrace Dr, Suite 103, Waldorf, MD 20602-3706 | 2006-07-01 |
1942286182 | Thomas M. Kline | Chiropractor | 11637 Terrace Dr, Suite 101, Waldorf, MD 20602-3706 | 2005-12-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
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Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376664060 | Sandra Lee Zucker Salan | Psychiatry & Neurology | 13464 Holly Spring Dr, Waldorf, MD 20601-2329 | 2007-04-02 |
1881718344 | Michael K Greenberg,md,pc | Psychiatry & Neurology | 11637 Terrace Drive, Suite 100, Waldorf, MD 20602-3707 | 2007-03-19 |
1952327884 | Shoba Mathews | Psychiatry & Neurology | #7 Post Office Rd, Waldorf, MD 20604-0628 | 2006-07-14 |
1932192150 | Michael K Greenberg | Psychiatry & Neurology | 11637 Terrace Dr, Ste 100, Waldorf, MD 20602-3706 | 2005-08-23 |
1235231325 | The Neurology Clinic, P.C. | Psychiatry & Neurology | 11350 Pembrooke Sq, Suite 312, Waldorf, MD 20603-4809 | 2006-09-01 |
1316972482 | Baljeet S Sethi | Psychiatry & Neurology | 11350 Pembrooke Sq, Suite 312, Waldorf, MD 20603-4809 | 2006-07-11 |
1528002342 | S Krishna Nandipati | Psychiatry & Neurology | 3500 Old Washington Rd, Suite 202, Waldorf, MD 20602-3224 | 2006-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235777210 | Progressive Neurology LLC | Psychiatry & Neurology | 2405 Whittier Dr Unit 100, Frederick, MD 21702-3361 | 2019-12-20 |
1285288241 | Yair Mina | Psychiatry & Neurology | 297 Rollins Ave, Rockville, MD 20852-4018 | 2019-07-29 |
1861956930 | Capital Stroke Neurology Inc | Psychiatry & Neurology | 9117 Falls Chapel Way, Potomac, MD 20854-2453 | 2019-01-23 |
1013496405 | Riverside Neurology LLC | Psychiatry & Neurology | 560 Riverside Dr Ste B204, Salisbury, MD 21801-4703 | 2018-08-07 |
1740726942 | George Oyler | Psychiatry & Neurology | 2924 Guilford Ave, Baltimore, MD 21218-4115 | 2017-01-11 |
1265988075 | Rena Diana Sukhdeo Singh | Psychiatry & Neurology | 10 Center Drive Room B15-733, Msc 1063, Bethesda, MD 20892-0001 | 2016-08-31 |
1134672918 | Anne Damian Yacoub | Psychiatry & Neurology | 600 N Wolfe St Rm 627, Baltimore, MD 21287-0005 | 2016-07-28 |
1689026338 | James Vornov | Psychiatry & Neurology | 3519 Old Court Rd, Pikesville, MD 21208-3124 | 2016-07-06 |
1619343092 | Usa Sleep Diagnostic Mobile Services, LLC | Psychiatry & Neurology | 1215 Annapolis Rd Ste 202, Odenton, MD 21113-1349 | 2015-08-19 |
1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
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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.