OLUMUYIWA OJEDIRAN, M.D P.C


Address: 734 S Sycamore St, Petersburg, VA 23803-5817
Phone: 8047330111

OLUMUYIWA OJEDIRAN, M.D P.C (NPI# 1659552156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659552156
Entity Type Organization
Organization Name OLUMUYIWA OJEDIRAN, M.D P.C
Practice Address 734 S Sycamore St
Petersburg
VA 23803-5817
Practice Telephone 8047330111
Practice Fax Number 8047331176
Mailing Telephone 8047330111
Mailing Fax Number 8047331176
Enumeration Date 2007-11-26
Last Update Date 2007-11-26
Authorized Official Name DR. OLUMUYIWA AKINNIYI OJEDIRAN (PRESIDENT)
Authorized Official Telephone 8047330111
Authorized Official Credential M.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0000X Internal Medicine
Specialization: Adolescent Medicine
0101233648 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA BLUE CROSS 465753 01

Office Location

Street Address 734 S SYCAMORE ST
City PETERSBURG
State VA
Zip Code 23803-5817

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1356596571 Quality Healthcare Inc Community/Behavioral Health 6111 Duncan Rd, Ste F, Petersburg, VA 23803 2008-12-02
1861614943 Peoples Family Dental Care Dentist 1328 W Washington St, Petersburg, VA 23803 2007-05-02
1841333721 Family Preservation Services, Inc Community/Behavioral Health 1000 Patterson Ave, Petersburg, VA 23803 2007-02-14
1154473155 Progressive Adult Rehabilitation Center, Inc. Day Training, Developmentally Disabled Services 114 North Union Street, Suite B, Petersburg, VA 23803 2007-01-18
1861556615 Evelyn V. Whitehead Counselor 115 E Wythe St, Petersburg, VA 23803 2006-12-19
1538248778 Raymond Gibson Smith Jr. Dentist Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 2006-11-06
1396842282 Eugene Arthur Richardson IIi Dentist 23 Shore Street, Petersburg, VA 23803 2006-09-20
1679594030 Olumuyiwa Akinniyi Ojediran Internal Medicine 734 South Sycamore Street, Petersburg, VA 23803 2006-07-21
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Taxonomy Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Adolescent Medicine

Taxonomy Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700042231 Michael Tobeh Kometa Internal Medicine 200 Medical Park Blvd, Petersburg, VA 23805-9274 2008-08-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376760140 Richard Homer Bright Internal Medicine 94 Longview Cir, Fishersville, VA 22939-2004 2007-04-20
1881795557 Bon Secours Memorial Regional Medical Center LLC Internal Medicine 10150 Staples Mill Rd Ste C, Glen Allen, VA 23060-3452 2006-09-26
1730116575 Alok Rustogi Internal Medicine 46090 Lake Center Plz, 201, Potomac Falls, VA 20165-5876 2006-06-27
1306802426 Martha A. Griswold Internal Medicine 173 Waterfront Dr, Colonial Heights, VA 23834-2181 2006-04-26
1043549561 Hampton Roads Hospitalist Group Internal Medicine 3636 High St, Portsmouth, VA 23707-3236 2009-12-11
1487867958 Kaveh Ofogh Internal Medicine 301 Concourse Blvd, Suite# 210, Glen Allen, VA 23059 2007-05-08
1942364617 Centre Pointe Health Specialties Internal Medicine 3920 Plank Rd, 120, Fredericksburg, VA 22407-7104 2006-12-20
1487712394 Nushin F Todd Internal Medicine 201 North Washington Street, Falls Church, VA 22046-4518 2006-12-04
1265513238 Jeffrey B Conklin Internal Medicine 21785 Filigree Ct, Suite 100, Ashburn, VA 20147-6213 2006-10-18
1932133568 John M. Bush Internal Medicine 4376 Germanna Hwy, Locust Grove, VA 22508 2006-07-10
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Competitor

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City PETERSBURG
Zip Code 23803

Improve Information

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Dataset Information

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.

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