TOLULOPE TUNDE ADUROJA (NPI# 1558315895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558315895 |
| Entity Type | Individual |
| Full Name | TOLULOPE TUNDE ADUROJA |
| Credential | MD |
| Practice Address |
42d Medical Group, 300 S. Twining St. Bldg. 760 Maxwell Afb AL 36112 |
| Mailing Address |
Loretta Wood, Medical Staff Manager 42d Medical Group, 300 S. Twining St. Bldg. 760 Maxwell Afb AL 36112 |
| Practice Telephone | 3349533368 |
| Practice Fax Number | 3349538607 |
| Mailing Telephone | 3349533368 |
| Mailing Fax Number | 3349538607 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25462 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009999385 | 05 | |
| AL | BLUE CROSS | 051528779 | 01 |
| AL | UBH-BASIC | 1539810 | 01 |
| AL | MEDICAID REHAB | 330534635 | 01 |
| AL | BLUE CROSS | 051528778 | 01 |
| AL | BLUE CROSS | 051528781 | 01 |
| AL | VIVA | I32823 | 01 |
| AL | 009932772 | 05 | |
| AL | UBH-PLUS | 1539811 | 01 |
| AL | 009999375 | 05 | |
| AL | BLUE CROSS FEDERAL | 051530273 | 01 |
| AL | MEDICAID REHAB | 330500635 | 01 |
| Street Address |
42D MEDICAL GROUP, 300 S. TWINING ST. BLDG. 760 |
| City | MAXWELL AFB |
| State | AL |
| Zip Code | 36112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836970 | Alison Bees Thompson | Social Worker | 42nd Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2019-11-25 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1477015196 | Jennifer Marie Hudson | Counselor | Jennifer Hudson, 300 South Twining St Bldg 760, Maxwell Afb, AL 36112 | 2019-04-02 |
| 1255801049 | Jose Edwin Aviles | Military Health Care Provider | Kelly Street, Montgomery, AL 36112 | 2018-12-05 |
| 1306316963 | Lydia Price Beringer | Speech-Language Pathologist | 300 S. Twining Street 42 Nd Medical Group, Maxwell Afb, AL 36112 | 2018-11-27 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1417353590 | Jamie Ellis | Social Worker | 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2014-11-17 |
| 1629419650 | Elias N Hydrick | Family Medicine | 300 S. Twining St., Bldg 760, Maxwell Afb, 42nd Medical Group, Montgomery, AL 36112 | 2013-07-06 |
| 1639454200 | Sharon Lewis | Pharmacist | 300 Southtwining St, Montgomery, AL 36112 | 2011-10-14 |
| 1104158518 | Sylvia Ann Newell | Dietitian, Registered | 50 W Ash St Bldg 841, Montgomery, AL 36112 | 2010-02-10 |
| Find all providers in zip 36112 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396184040 | Richard Sean Sinclair | Psychiatry & Neurology | 1015 Montlimar Dr Ste A210, Mobile, AL 36609-1743 | 2013-06-17 |
| 1083976492 | Vinet Health Services LLC | Psychiatry & Neurology | 8154 Highway 59 South, Suite 205, Foley, AL 36535-3868 | 2012-06-12 |
| 1063688216 | Central Alabama Psychiatry, LLC | Psychiatry & Neurology | 2100a Southbridge Pkwy, Suite 540, Birmingham, AL 35209-1370 | 2008-05-07 |
| 1306056965 | Kira Fonbah | Psychiatry & Neurology | 2170 Clearbrook Rd Ste 103, Hoover, AL 35226-1573 | 2007-05-23 |
| 1720105653 | Curtis L.v. Adams | Psychiatry & Neurology | 7310 Martha Dr Se, Huntsville, AL 35802-2414 | 2007-03-24 |
| 1245374743 | Karis Dampier Knight | Psychiatry & Neurology | 402 Johnston St Se, Decatur, AL 35601-3008 | 2007-02-16 |
| 1538200605 | Aparna Vuppala | Psychiatry & Neurology | 7500 Memorial Pkwy Sw Ste 215c, Huntsville, AL 35802-2200 | 2007-02-09 |
| 1083751374 | Adeel Rabbani | Psychiatry & Neurology | 5750 A South Land Dr, Mobile Mental Health Center, Mobile, AL 36693 | 2007-01-30 |
| 1447328133 | Marguerite Meriwether Brown | Psychiatry & Neurology | 115 Johnston St Se, Suite 202, Decatur, AL 35601-2357 | 2006-12-01 |
| 1427124429 | Sherry Lynn Thaggard | Psychiatry & Neurology | 1963 Memorial Parkway, Suite 5, Huntsville, AL 35801 | 2006-11-28 |
| Find all providers with the same taxonomy | ||||
| City | MAXWELL AFB |
| Zip Code | 36112 |
Please comment or provide details below to improve the information on TOLULOPE TUNDE ADUROJA.
| 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.