DR. IFEOLUWA Y OMITOWOJU (NPI# 1629068903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629068903 |
| Entity Type | Individual |
| Full Name | DR. IFEOLUWA Y OMITOWOJU |
| Other Name | IFEOLUWA Y FADEYI |
| Credential | MD |
| Practice Address |
1701 Twin Springs Rd Kaiser Permanente South Baltimore County Hub Halethorpe MD 21227-3553 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 4107375000 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2013-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D0059049 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
1701 TWIN SPRINGS RD KAISER PERMANENTE SOUTH BALTIMORE COUNTY HUB |
| City | HALETHORPE |
| State | MD |
| Zip Code | 21227-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212771 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-12-19 |
| 1891345674 | Jennifer Fullem | Family Medicine | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-09-13 |
| 1295397305 | Abolanle Busirat Ahmed-orepitan | Family Medicine | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-06-28 |
| 1730743071 | Richard Saunders | Specialist/Technologist, Other | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-04-23 |
| 1245706092 | Thomas Closson | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2018-10-19 |
| 1134607765 | Christopher John Miller | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2018-08-06 |
| 1053899708 | Kathryn Mundi | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2018-08-04 |
| 1174039044 | Antoinette Gupta | Specialist/Technologist, Other | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2017-12-14 |
| 1568971968 | Andrew Chi | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2017-09-28 |
| 1093242141 | Rezene Asghodom | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2017-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622024 | Kim Conaway | Counselor | Regenerations Counseling Services, 1421 S. Canton Street, Baltimore, MD 21227 | 2019-04-30 |
| 1861974891 | Joan Lynn Indilisano | Occupational Therapist | 3320 Benson Avenue, Baltimore, MD 21227 | 2018-09-06 |
| 1821593161 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 | 2018-03-28 |
| 1447779699 | Aja Williams | Registered Nurse | 3902 Annapolis Rd., Halethorpe, MD 21227 | 2017-09-19 |
| 1588190748 | Mentor-maryland | Community/Behavioral Health | 1540 Caton Center Drive, Halethorpe, MD 21227 | 2017-05-10 |
| 1083084180 | Institute for Family Centered Services | Community/Behavioral Health | 1540 Caton Centered Drive, Suite F, Baltimore, MD 21227 | 2015-10-01 |
| 1174913677 | Wye Oak Clinic, Inc. | Marriage & Family Therapist | 1937 Lansdowne Rd, Halethorpe, MD 21227 | 2015-02-04 |
| 1588938237 | Ahmein Watson | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227 | 2012-02-28 |
| 1336442656 | Norah Orise Osian | Pharmacist | Rite Aid Pharmacy, 1400 Sulphur Spring Rd, Baltimore, MD 21227 | 2010-12-08 |
| 1366759623 | Een J Lee | Pharmacist | 1400 Sulphurspring Rd, Baltimore, MD 21227 | 2010-09-08 |
| Find all providers in zip 21227 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689734352 | Martina Angelini Schwartz | Pediatrics | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554031 | Mebe Maryland | Pediatrics | 11140 Rockville Pike # 565, Rockville, MD 20852-3106 | 2020-10-06 |
| 1982219739 | Jennifer Blansett | Pediatrics | 103 Centennial St Ste C, La Plata, MD 20646-5985 | 2020-09-09 |
| 1285248211 | Lauren Mendelsohn-levin, Md LLC | Pediatrics | 6905 Granite Ridge Ct, Baltimore, MD 21209-3856 | 2020-09-08 |
| 1538779509 | Blossoming Minds Pediatrics | Pediatrics | 11723 Trotter Crossing Ln, Clarksville, MD 21029-1445 | 2020-08-05 |
| 1033730668 | Cyd Patrice Campbell | Pediatrics | 102 Southwood Ave, Silver Spring, MD 20901-1917 | 2020-05-05 |
| 1487289757 | Deborah Lindsey | Pediatrics | 6008 Highland Dr, Chevy Chase, MD 20815-6612 | 2020-03-07 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1427695824 | Naseem Khan | Pediatrics | 10851 Clarksville Pike, Columbia, MD 21044-1338 | 2019-12-04 |
| 1720625379 | Edge Pediatric LLC | Pediatrics | 7500 Hanover Pkwy Ste 203, Greenbelt, MD 20770-2009 | 2019-12-03 |
| 1790321172 | Lifebridge Metropolitan Physician Group II, LLC | Pediatrics | 1 E University Pkwy Unit 109, Baltimore, MD 21218-2432 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | HALETHORPE |
| Zip Code | 21227 |
Please comment or provide details below to improve the information on DR. IFEOLUWA Y OMITOWOJU.
| 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.