OLUWATOBI EMMANUEL MENAWONU (NPI# 1891142774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891142774 |
| Entity Type | Individual |
| Full Name | OLUWATOBI EMMANUEL MENAWONU |
| Credential | NP |
| Practice Address |
2601 Holme Ave Philadelphia PA 19152-2007 |
| Mailing Address |
1110 Longshore Ave Philadelphia PA 19111-4538 |
| Practice Telephone | 2153356562 |
| Mailing Telephone | 2158343656 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F0516014 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016001828 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1110 Longshore Ave, Philadelphia, PA 191114538 | 2158343656 |
| Street Address |
2601 HOLME AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737671 | Ayesha Jamil | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2096 | 2020-07-09 |
| 1396361028 | Yana Ananeva | Nurse Practitioner | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-06-18 |
| 1932724580 | Benjamin Browne | Specialist/Technologist | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-06-10 |
| 1922623446 | Kurt Marc Isaac-elder | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2096 | 2020-06-10 |
| 1265056758 | Liane E. Hunter | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-06-01 |
| 1942823307 | Syed Fahad Shah | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2096 | 2020-05-20 |
| 1497377303 | Georgette Amanda Hattier | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-05-13 |
| 1215559273 | Cesar Grandez | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2096 | 2020-05-13 |
| 1942822168 | Ali Iqbal | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-05-11 |
| 1104448323 | Aimal Shah | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave, Philadelphia, PA 19152-2007 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454051 | Violet Anderson | Nurse Practitioner | 2338 S Broad St, Philadelphia, PA 19145-4450 | 2020-10-15 |
| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1467083063 | Tara Lynne Weaver | Nurse Practitioner | 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 | 2020-02-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
Please comment or provide details below to improve the information on OLUWATOBI EMMANUEL MENAWONU.
| 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.