GABRIEL BOLADELE ROSANWO (NPI# 1598740466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598740466 |
| Entity Type | Individual |
| Full Name | GABRIEL BOLADELE ROSANWO |
| Credential | MD |
| Practice Address |
3130 N County Road 25a Suite 103 Troy OH 45373-1337 |
| Practice Telephone | 9377730428 |
| Practice Fax Number | 9377730439 |
| Mailing Telephone | 9377730428 |
| Mailing Fax Number | 9377730439 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2014-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036104578 | IL | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 036104578 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0053655 | 05 |
| Street Address |
3130 N COUNTY ROAD 25A SUITE 103 |
| City | TROY |
| State | OH |
| Zip Code | 45373-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956772 | Michael Todd Boggs | Family Medicine | 3130 N County Road 25a, Troy, OH 45373-1337 | 2005-07-19 |
| 1417504630 | Kerri Marie Starkey | Massage Therapist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-08-22 |
| 1033762562 | Kara Sue Bruskotter | Nurse Practitioner | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-07-23 |
| 1003477506 | Christine L Asher | Registered Nurse | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-06-25 |
| 1386203966 | Danielle Morgan Wheeler | Physician Assistant | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-06-07 |
| 1881173607 | Alaine C. Kirby | Nurse Practitioner | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-08-13 |
| 1750871075 | Sarah Flora | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-05-11 |
| 1083103667 | Brian Allen Haynes | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-05-09 |
| 1790292191 | Michael E. Barhorst | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-01-08 |
| 1386156115 | Seth Gullett | Nurse Anesthetist, Certified Registered | 3130 N County Road 25a, Troy, OH 45373-1337 | 2017-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437266 | Obstetrics and Gynecology South, Inc | Obstetrics & Gynecology | 700 S Stanfield Rd Ste B, Troy, OH 45373-2569 | 2019-09-26 |
| 1740693514 | Thomas P Cacciola | Obstetrics & Gynecology | 101 Jordan Rd Ste 200, Troy, NY 12180-8337 | 2014-06-09 |
| 1063724813 | Joelle Aoun Abood | Obstetrics & Gynecology | 2825 Livernois Road, Henry Ford Medical Center - Women's Health, Troy, MI 48083 | 2010-07-09 |
| 1174840185 | Michael Tsimis | Obstetrics & Gynecology | 3979 Mark Dr, Troy, MI 48083-5333 | 2010-04-29 |
| 1609199421 | Troy Health Services LLC | Obstetrics & Gynecology | 199 Scouting Circle, Troy, AL 36081 | 2010-03-08 |
| 1104075548 | David Marshall | Obstetrics & Gynecology | 66 Pointview Drive, Troy, NY 12180 | 2008-09-10 |
| 1336347210 | Rati Chadha | Obstetrics & Gynecology | 2783 Somerset Blvd Apt 207, Troy, MI 48084-4012 | 2007-07-03 |
| 1336219484 | Daniel John Dilworth | Obstetrics & Gynecology | 3130 N Dixie Highway, Suite 203, Troy, OH 45373 | 2006-11-08 |
| 1568544278 | Beth Ann Rasmussen | Obstetrics & Gynecology | 25 Prospect Cir, Troy, MO 63379-3173 | 2006-10-20 |
| 1861598260 | Rosalindo Tipon Cortez | Obstetrics & Gynecology | 61 Stanfield Rd, Gyne Associates Inc, Troy, OH 45373-2307 | 2006-09-15 |
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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.