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).
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 |
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 |
Street Address |
515 22ND AVE |
City | MONROE |
State | WI |
Zip Code | 53566-1569 |
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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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 Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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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 |
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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 |
Find all providers in MONROE |
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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.