ADEMOLA OLUBUSOLA ADEROJU


Address: 1404 Willow Ln, Suite B, North Wilkesboro, NC 28659-3584
Phone: 3369036820

ADEMOLA OLUBUSOLA ADEROJU (NPI# 1932324985) 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) 1932324985
Entity Type Individual
Full Name ADEMOLA OLUBUSOLA ADEROJU
Credential M.D.
Practice Address 1404 Willow Ln
Suite B
North Wilkesboro
NC 28659-3584
Mailing Address Po Box 602658
Charlotte
NC 28260-2658
Practice Telephone 3369036820
Practice Fax Number 3369036821
Mailing Telephone (336) 716-2011
Enumeration Date 2007-04-16
Last Update Date 2017-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 2008-01398 NC Allopathic & Osteopathic Physicians
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
2008-01398 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5910809 05

Office Location

Street Address 1404 WILLOW LN
SUITE B
City NORTH WILKESBORO
State NC
Zip Code 28659-3584

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316936156 Gary Glenn Nichols Physician Assistant 1404 Willow Ln, North Wilkesboro, NC 28659-3584 2005-10-14
1710202429 Wilkes Physician Network, Inc. Internal Medicine 1404 Willow Ln, Greenway Healthcare, North Wilkesboro, NC 28659-3584 2010-04-06
1659602449 Wilkes Physician Network, Inc. Internal Medicine 1404 Willow Ln, Wilkes Regional Gastroenterology, North Wilkesboro, NC 28659-3584 2010-01-19
1841387248 Jose R Carrasquillo Internal Medicine 1404 Willow Ln, Suite B, North Wilkesboro, NC 28659-3584 2006-10-06
1598857039 Michelle Lisa Redman Internal Medicine 1404 Willow Ln, Greenway Healthcare, North Wilkesboro, NC 28659-3584 2006-09-29
1508847245 Michael S Everhart Physician Assistant 1404 Willow Ln, Suite B, North Wilkesboro, NC 28659-3584 2005-11-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013579689 Lisa C Carr Social Worker 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 2019-07-03
1780141507 Brenda Barber Counselor 200 Northview Plaza, North Wilkesboro, NC 28659 2019-02-28
1639696941 Lifespan Incorporated Community/Behavioral Health 2070 River Road, North Wilkesboro, NC 28659 2017-08-28
1184146011 Daymark Recovery Services Inc Community/Behavioral Health 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 2017-07-12
1033568258 Rgm Al Holdings, LLC Assisted Living Facility 240 Independence Ave, North Wilkesboro, NC 28659 2016-06-08
1376997999 Hayden Church Driver 29 Boone Trail, North Wilkesboro, NC 28659 2016-04-20
1033563192 Nathan Grant Davis Emergency Medicine Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 2016-04-14
1720425408 Lindsay Brooke Spears Dentist 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 2013-06-04
1881983419 Pruitthealth Hospice, Inc. Hospice Care, Community Based 902 West D St, Ste B, North Wilkesboro, NC 28659 2011-04-05
1275838096 Barium Springs Home for Children Community Based Residential Treatment Facility, Mental Illness 517 Boston Ave, North Wilkesboro, NC 28659 2011-01-26
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659602449 Wilkes Physician Network, Inc. Internal Medicine 1404 Willow Ln, Wilkes Regional Gastroenterology, North Wilkesboro, NC 28659-3584 2010-01-19
1912111766 Wake Forest University Baptist Medical Center Community Physicians Internal Medicine 1916 W Park Dr, North Wilkesboro, NC 28659-3563 2007-05-10
1841387248 Jose R Carrasquillo Internal Medicine 1404 Willow Ln, Suite B, North Wilkesboro, NC 28659-3584 2006-10-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346889292 Park Gastroenterology, Pllc Internal Medicine 7560 Carpenter Fire Station Rd Ste 303, Cary, NC 27519-9637 2019-12-24
1528625399 Rowan Endoscopy Center, Pllc Internal Medicine 1809 Brenner Ave, Suite 102, Salisbury, NC 28144-2558 2019-05-28
1073091088 Gastroenterology Associates of The Piedmont, P.a. Internal Medicine 445 Pineview Dr Ste 200b, Kernersville, NC 27284 2018-08-01
1710489273 Appalachian Regional Medical Associates Inc Internal Medicine Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 2018-03-01
1669971826 Appalachian Regional Medical Associates Inc Internal Medicine 870 State Farm Rd Ste 2, Boone, NC 28607-4861 2018-02-02
1437556594 Novant Medical Group Inc Internal Medicine 13 Medical Campus, Suite 102, Supply, NC 28462-4093 2014-12-04
1275930968 Digestive Health Specialists, Pa Internal Medicine 434 Kirby Rd, Lower Level Suite 6, King, NC 27021-9494 2014-11-25
1326454174 Daniel Dillon Internal Medicine 1045 25th Avenue Dr Nw, Hickory, NC 28601-9077 2014-07-01
1841610300 Shelly Gurwara Internal Medicine Medical Ctr Blvd, Winston Salem, NC 27157-2358 2014-04-23
1518386457 Silpa Yalamanchili Internal Medicine 781 Avent Ferry Rd Ste 204, Holly Springs, NC 27540-7776 2014-04-08
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Competitor

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City NORTH WILKESBORO
Zip Code 28659

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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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