ADEFOLAKEMI MARTHA BABATUNDE (NPI# 1740546407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740546407 |
| Entity Type | Individual |
| Full Name | ADEFOLAKEMI MARTHA BABATUNDE |
| Credential | M.D. |
| Practice Address |
209 Martin Luther King Jr Way Tacoma WA 98405 |
| Mailing Address |
209 Martin Luther King Jr Way Tacoma WA 98405-4265 |
| Practice Telephone | 2535963300 |
| Enumeration Date | 2012-04-07 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD60854527 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301 Erwin Rd, Durham, NC 277054699 | 9196848111 |
| Street Address |
209 MARTIN LUTHER KING JR WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699750919 | Mark Walther | Physician Assistant | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2005-12-09 |
| 1992323539 | Rida Fatima | Student in an Organized Health Care Education/Training Program | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2020-07-09 |
| 1518589936 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2020-05-07 |
| 1659911592 | Annika Kathryn Kohlmeier | Student in an Organized Health Care Education/Training Program | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2020-01-08 |
| 1124685540 | Sarah Rose | Advanced Practice Midwife | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2019-05-21 |
| 1114412244 | Stacy Ann Beckman | Physician Assistant | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2018-07-01 |
| 1821582685 | Megan Vock | Registered Nurse | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2018-06-15 |
| 1639666118 | Stephanie Lynne Shah | Physician Assistant | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2018-04-19 |
| 1780114744 | Jason Chau | Pharmacist | 209 Martin Luther King Jr Way, Tacoma, WA 98405 | 2017-06-13 |
| 1275074932 | Lisa Michelle Coleman | Social Worker | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2017-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740522127 | Takor Besong Arrey-mbi | Internal Medicine | Madigan Army Medicalcenter 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2013-03-22 |
| 1083778260 | Edward Charles Horwitz | Internal Medicine | Cardiology, Madigan Army Medical Center, Tacoma, WA 98431-1100 | 2006-12-21 |
| 1205875986 | Myung Hee Park | Internal Medicine | 1802 Yakima Ave Ste 302, Tacoma, WA 98405-5305 | 2006-06-06 |
| 1720049745 | Olaf Hedrich | Internal Medicine | 1802 S Yakima Ave, Suite 307, Tacoma, WA 98405-5305 | 2006-03-29 |
| 1386615433 | Ahmad M Slim | Internal Medicine | 1901 South Cedar St, Suite 301, Tacoma, WA 98405 | 2006-01-27 |
| 1407833189 | Eric A. Shry | Internal Medicine | 9040a Reid Street, Mchj-clq-c, Tacoma, WA 98431-1100 | 2005-12-23 |
| 1730163957 | John P Nagle | Internal Medicine | 1901 South Cedar, #301 Cardiac Study Center Inc Ps, Tacoma, WA 98405 | 2005-12-01 |
| 1255314944 | Mark Isadore Hainer | Internal Medicine | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-8561 | 2005-11-28 |
| 1881989945 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Ste 307, Tacoma, WA 98405-4499 | 2011-06-16 |
| 1699060756 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Ste 302, Tacoma, WA 98405-4499 | 2011-06-16 |
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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.