OMOLOLU DANIEL OMOWANILE


Address: 515 22nd Ave, Monroe, WI 53566-1569
Phone: 6083242000

OMOLOLU DANIEL OMOWANILE (NPI# 1922493063) 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) 1922493063
Entity Type Individual
Full Name OMOLOLU DANIEL OMOWANILE
Credential M.D.
Practice Address 515 22nd Ave
Monroe
WI 53566-1569
Practice Telephone 6083242000
Mailing Telephone 6083242000
Enumeration Date 2015-04-06
Last Update Date 2018-08-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 69638-20 WI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 515 22ND AVE
City MONROE
State WI
Zip Code 53566-1569

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659354553 Mark W. Collar Anesthesiology 515 22nd Ave, Monroe Clinic, Monroe, WI 53566-1569 2005-11-23
1316546724 Melissa Anne Anderson Nurse Practitioner 515 22nd Ave, Monroe, WI 53566-1569 2020-10-19
1356949382 Olivia Caroline Lemanski Pharmacist 515 22nd Ave, Monroe, WI 53566-1569 2020-10-12
1023620382 Katelyn Rebecca Marie Neverman Pharmacist 515 22nd Ave, Monroe, WI 53566-1569 2020-08-18
1619586393 Lauren Marie Shawl Social Worker 515 22nd Ave, Monroe, WI 53566-1569 2020-07-28
1508484676 Ashley Moore Pharmacist 515 22nd Ave, Monroe, WI 53566-1569 2020-07-06
1164043584 Erica Yumi Yamamoto Student in an Organized Health Care Education/Training Program 515 22nd Ave, Monroe, WI 53566-1569 2020-04-27
1982231668 Scott Soja Specialist/Technologist 515 22nd Ave, Monroe, WI 53566-1569 2020-03-24
1942835707 Daniel Douglas Troutner Physician Assistant 515 22nd Ave, Monroe, WI 53566-1569 2020-03-11
1649817222 Samuel A. Cook Nurse Practitioner 515 22nd Ave, Monroe, WI 53566-1569 2019-12-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548752967 Mariah Mohns Occupational Therapy Assistant N3150 Wi- 81, Monroe, WI 53566 2018-06-01
1811414907 Yelena Gapchenko Pharmacist 515 22nd St., Monroe, WY 53566 2017-08-29
1508306283 Hilary Domke Occupational Therapist N3150 Wi-81, Monroe, WI 53566 2017-03-01
1699132332 Lisa Marty Social Worker N3152 Wi-81, Monroe, WI 53566 2016-01-26
1518223148 Lauren Nibler Craddock Dermatology 412 18th Ave, Monroe, WI 53566 2012-04-09
1033482799 Amber Gatdula Physical Therapy Assistant 2628 14th Street, Monroe, WI 53566 2012-02-10
1629361043 Tammy Noble Licensed Practical Nurse N2546 Ullom Rd., Monroe, WI 53566 2011-05-18
1023331683 Kristine Hudson Registered Nurse 1110 11th Street, Monroe, WI 53566 2010-03-10
1306005012 Rosemary Ann Graham Registered Nurse 2413 5th Ave, Monroe, WI 53566 2008-06-06
1174702559 Kelly Jo Jenson Chiropractor 1518 11th Street, Suite 1-2, Monroe, WI 53566 2007-11-01
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972124832 Jessica Womack Family Medicine 527 W Hurd Rd, Monroe, MI 48162-9205 2020-05-01
1134781412 Joshua Dwaine Lentz Family Medicine Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 2019-07-08
1376000620 Paladina Health, LLC Family Medicine Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 2019-02-22
1457822991 Affinity Health Group, LLC Family Medicine 920 Oliver Rd Ste A2, Monroe, LA 71201-5702 2018-12-10
1144601121 Rebecca Redding Family Medicine 924 W Spring St Ste A, Monroe, GA 30655-1751 2015-06-15
1285069088 Geaux Family Health, LLC Family Medicine 2408 Duval Dr, Suite 1, Monroe, LA 71201-2986 2013-09-11
1033559844 Mvhe, Inc Family Medicine 20 Overbrook Dr Ste C, Monroe, OH 45050-1147 2013-06-26
1982048237 Erin Robinson Breard Family Medicine 3995 Sterlington Rd, Ste A, Monroe, LA 71203-3723 2013-04-17
1659614022 Mercy Memorial Hospital Corporation Family Medicine 650 Steward Road, Monroe, MI 48162 2013-04-03
1598015968 Urban Medical Clinic, Inc. Family Medicine 1910 Jackson St., Monroe, LA 71202-2532 2012-09-13
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Competitor

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City MONROE
Zip Code 53566

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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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