OLAWALE AYENI (NPI# 1619079621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619079621 |
| Entity Type | Individual |
| Full Name | OLAWALE AYENI |
| Credential | MD |
| Practice Address |
123 Broadway St Colchester CT 06415-1022 |
| Mailing Address |
123 Broadway St P.o. Box 288 Colchester CT 06415-1022 |
| Practice Telephone | 8605373204 |
| Practice Fax Number | 8605373208 |
| Mailing Telephone | 8605373204 |
| Mailing Fax Number | 8605373208 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2008-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 041093 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
123 BROADWAY ST |
| City | COLCHESTER |
| State | CT |
| Zip Code | 06415-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881871770 | Priya Tandon M.d. LLC | Clinic/Center | 123 Broadway St, Colchester, CT 06415-1022 | 2008-01-23 |
| 1952596579 | Colchester Family Medicine LLC | Clinic/Center | 123 Broadway St, Colchester, CT 06415-1022 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225553571 | Coleman Pediatric Therapy LLC | Occupational Therapist | 155 Boretz Rd, Colchester, CT 06415 | 2017-08-08 |
| 1811346224 | Katie Coleman | Occupational Therapist | 155 Boretz Road, Colchester, CT 06415 | 2016-06-07 |
| 1104217637 | Beyond Autism Counseling Services and Supportive Guidance | Community/Behavioral Health | 85 Broadway Street, Colchester, CT 06415 | 2015-02-05 |
| 1235488701 | Jennifer Grandpre | Physical Therapist | 7 Park Avenue Suite 4, Colchester, CT 06415 | 2012-08-30 |
| 1174781660 | Mark Cahill | Acupuncturist | 79b Norwich Ave, Colchester, CT 06415 | 2008-05-30 |
| 1417166232 | Shelly Lynn Ceceri | Physical Therapy Assistant | 59 Harirington Court, Colchester, CT 06415 | 2007-05-21 |
| 1134341142 | Susan Gene Pugatch | Physical Therapist | 59 Harrington Court, Colchester, CT 06415 | 2007-05-02 |
| 1669699377 | Janice K. Loomis | Marriage & Family Therapist | 244 South Main St, Colchester, CT 06415 | 2007-04-20 |
| 1952439176 | Dona Gioco Hoff | Social Worker | 139 Mill Hill Rd, Colchester, CT 06415 | 2007-03-01 |
| 1194875294 | Mary-margaret Ellen Freier | Psychologist | 4 Van Cedarfield Rd., Colchester, CT 06415 | 2007-01-11 |
| Find all providers in zip 06415 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013118157 | Charles Joseph Schmitt | Family Medicine | 760 College Parkway, Colchester, VT 05445-3007 | 2007-05-29 |
| 1528099363 | Richard Dodge Morrison | Family Medicine | 28 Vermont Ave, Colchester, VT 05446 | 2006-07-06 |
| 1629007372 | Kassem M Khybery | Family Medicine | 514 Westchester Rd, Colchester, CT 06415-2226 | 2006-07-02 |
| 1841239514 | Paul Vincent Bertocci | Family Medicine | 786 College Parkway, Maple Leaf Treatment Center, Colchester, VT 05446 | 2006-06-06 |
| 1336186782 | Sean T Maloney | Family Medicine | 883 Blakely Rd, Colchester, VT 05446-4417 | 2006-06-01 |
| 1497722862 | Joanna S Weinstock | Family Medicine | 790 College Pkwy, Fahc Walk In Care Center, Colchester, VT 05446-3007 | 2006-03-03 |
| 1174054977 | Amalia Kane | Family Medicine | 883 Blakely Rd, Colchester, VT 05446-4417 | 2017-03-23 |
| 1780945089 | Sharif R Nankoe | Family Medicine | 883 Blakely Rd, Uvm Medical Center - Colchester Family Medicine, Colchester, VT 05446-4417 | 2012-06-04 |
| 1861649956 | Sahir Chandrakant Patel | Family Medicine | 883 Blakely Rd, Colchester, VT 05446-4417 | 2008-08-20 |
| 1881856268 | Gretchen Ann Lewis Klein | Family Medicine | 883 Blakely Rd, Colchester, VT 05446-4417 | 2008-06-27 |
| Find all providers in COLCHESTER | ||||
| City | COLCHESTER |
| Zip Code | 06415 |
Please comment or provide details below to improve the information on OLAWALE AYENI.
| 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.