DR. OLUTAYO TEMITOPE IMEVBORE (NPI# 1750447421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750447421 |
| Entity Type | Individual |
| Full Name | DR. OLUTAYO TEMITOPE IMEVBORE |
| Credential | M.D. |
| Practice Address |
20 York St # Cb-2041 New Haven CT 06504-8900 |
| Mailing Address |
20 York St Cb-2041 New Haven CT 06504-8900 |
| Practice Telephone | 2036884748 |
| Mailing Telephone | 2036884748 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2014-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 042354 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT PHYSICIAN LICENSE | 042354 | 01 |
| CT | CT CSR | 35237 | 01 |
| CT | FED DEA REGISTRATION | BI8890419 | 01 |
| CT | 001423540 | 05 |
| Street Address |
20 YORK ST # CB-2041 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06504-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588647713 | Christopher Brant Sankey | Internal Medicine | 20 York St # Cb-2041, Ynh Medical Services PC, New Haven, CT 06504-8900 | 2005-11-22 |
| 1831319714 | Kelly Walls | Physician Assistant | 20 York St # Cb-2041, Ynh Medical Services PC, New Haven, CT 06504-8900 | 2007-04-26 |
| 1891812004 | Janelle Pacini | Physician Assistant | 20 York St # Cb-2041, Ynh Medical Services PC, New Haven, CT 06504-8900 | 2007-03-23 |
| 1295852440 | Andrea Jacobs-stannard | Physician Assistant | 20 York St # Cb-2041, Ynh Medical Services PC, New Haven, CT 06504-8900 | 2007-03-23 |
| 1851418115 | Anita Dunn | Physician Assistant | 20 York St # Cb-2041, Ynh Medical Services PC, New Haven, CT 06504-8900 | 2007-03-23 |
| 1477619153 | Brian Priest | Hospitalist | 20 York St # Cb-2041, Ynh Medical Services PC, New Haven, CT 06504-8900 | 2006-12-28 |
| 1588726731 | Ipshita Vashist | Hospitalist | 20 York St # Cb-2041, Ynh Medical Services PC, New Haven, CT 06504-8900 | 2006-12-14 |
| 1740342930 | Daphne Evans | Internal Medicine | 20 York St # Cb-2041, Ynh Medical Services PC, New Haven, CT 06504-8900 | 2006-12-14 |
| 1316009608 | Lirim Ameti | Internal Medicine | 20 York St # Cb-2041, New Haven, CT 06504-8900 | 2006-12-14 |
| 1508928797 | Jensa Catherine Morris | Hospitalist | 20 York St # Cb-2041, Ynh Medical Services PC, New Haven, CT 06504-8900 | 2006-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962872523 | Diana G Poulsen | Physician Assistant | Yale New Haven Pediatric Ed, 1 Park St, New Haven, CT 06504 | 2015-09-25 |
| 1679715395 | Rhonda Leigh Sawyer | Physician Assistant | 840 Howard Avenue, New Haven, CT 06504 | 2009-03-26 |
| 1205086915 | Christiane Brigitte Sabourin | Nurse Practitioner | 20 York Cb-2041, Ynh Medical Services PC, New Haven, CT 06504 | 2008-09-30 |
| 1821135187 | Jorge E Dotto | Pathology | Yale New Haven Hosp - Pathology, 20 York Street, Cp2-631, New Haven, CT 06504 | 2007-01-30 |
| 1528155009 | John K Hickey | Physician Assistant | 20 York St - Cb2041, Mill Hill Medical Conslutants, Inc, New Haven, CT 06504 | 2006-10-06 |
| 1750495610 | Leslie Hetzel O'connor | Clinical Nurse Specialist | Yale- New Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-08-18 |
| 1790729507 | Cynthia Anne Nielsen | Social Worker | 20 York St., Yale-new Haven Hospital, New Haven, CT 06504 | 2006-06-15 |
| 1023051901 | Michele N. Nyman Harris | Social Worker | Yale-new Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-06-14 |
| 1386627503 | Kerstin Elizabeth Calia | Internal Medicine | 20 York St Cb-2041, New Haven, CT 06504 | 2005-11-22 |
| 1598761546 | Edward Francois | Internal Medicine | 20 York Street Cb 2041, New Haven, CT 06504 | 2005-06-23 |
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| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316273485 | Jennifer Brook | Hospitalist | 20 York Street (cb-2041), New Haven, CT 06510 | 2009-10-26 |
| 1124181904 | Keith Swan | Hospitalist | 20 York St # 2041, Ynh Medical Services PC, New Haven, CT 06504-8900 | 2006-12-19 |
| 1558306340 | Anna Rodonski | Hospitalist | 20 York Steet, Cb-2041, New Haven, CT 06510 | 2006-06-17 |
| 1528016755 | Linda M. Hricz-borges | Hospitalist | 20 York Stree, Cb-2041, New Haven, CT 06510 | 2006-05-04 |
| 1497273239 | Hisham Al Kukhun | Hospitalist | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2017-08-31 |
| 1467973263 | Dachi Chelidze | Hospitalist | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2017-06-30 |
| 1598295347 | Swapna Anandan | Hospitalist | 20 York St, New Haven, CT 06510-3220 | 2017-06-14 |
| 1043748171 | Jessica Lauren Dolman | Hospitalist | 20 York Street, Ynhh Dept of Internal Medicine, New Haven, CT 06510-3220 | 2017-06-02 |
| 1942737119 | Amed Antonio Logrono | Hospitalist | 20 York St, New Haven, CT 06510-3220 | 2017-05-18 |
| 1669909107 | Andrew Abovian | Hospitalist | 20 York St, New Haven, CT 06510-3220 | 2017-05-15 |
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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.