ADEFISAYO ODUWOLE (NPI# 1952301830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952301830 |
| Entity Type | Individual |
| Full Name | ADEFISAYO ODUWOLE |
| Credential | MD |
| Practice Address |
80 Jesse Hill Jr Dr Se Ste 2e Atlanta GA 30303-3031 |
| Mailing Address |
1415 Highway 85 N Ste 310-296 Fayetteville GA 30214-7738 |
| Practice Telephone | 4046164422 |
| Mailing Telephone | 6785712956 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 042381 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
042381 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000728417C | 05 | |
| GA | 000728407C | 05 | |
| GA | 000728407U | 05 |
| Street Address |
80 JESSE HILL JR DR SE STE 2E |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365421 | Warren W Jarrett | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-10-29 |
| 1245830579 | Abigail Walker Murray | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-10-27 |
| 1649887118 | Christie Sams | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-28 |
| 1013523828 | Alicia Wong | Counselor | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-17 |
| 1538775473 | Nebiyu D Muleta | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-16 |
| 1952915431 | Rikita D Patel | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-09-02 |
| 1639782832 | Chaltu Raba | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-08-26 |
| 1790397172 | Ashley A Bostic | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-08-18 |
| 1174134050 | Kayla Renee Brown | Physician Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-08-13 |
| 1083224992 | Panaporn Ann Aphivantrakul | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013571033 | Norihiko Kamioka | Internal Medicine | 1364 Clifton Rd Ne Ste D422, Atlanta, GA 30322-1059 | 2019-04-24 |
| 1265798763 | Sulay Pankaj Patel | Internal Medicine | 101 Woodruff Circle Wmb 1013, Atlanta, GA 30322 | 2012-04-09 |
| 1073879573 | Ozlem Bilen | Internal Medicine | Emory University Cardiovascular, 101 Woodruff Circle, Wmb 3004, Atlanta, GA 30322-0001 | 2012-04-09 |
| 1881983963 | Roshin C Mathew | Internal Medicine | 6115 Peachtree Dunwoody Rd Ste 300, Atlanta, GA 30328-5695 | 2011-03-29 |
| 1174844971 | Vibhav Shyam Rangarajan | Internal Medicine | 95 Collier Rd Nw Ste 2065, Atlanta, GA 30309 | 2010-06-15 |
| 1356668081 | Benjamin David Demoss | Internal Medicine | 95 Collier Rd Nw Ste 3000, Atlanta, GA 30309-1721 | 2010-04-20 |
| 1437329810 | Heather Bagwell Westmoreland | Internal Medicine | 1110 W Peachtree St Nw Ste 900, Atlanta, GA 30309-3609 | 2008-03-03 |
| 1003093600 | Matthew J. Wilson | Internal Medicine | 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 | 2008-01-25 |
| 1154505238 | Danny John Eapen | Internal Medicine | 5671 Peachtree Dunwoody Road, Suite 300b, Atlanta, GA 30342-5000 | 2007-12-24 |
| 1740494087 | Sarah J. Rinehart | Internal Medicine | 275 Collier Rd, Nw, Suite 500, Atlanta, GA 30309-1740 | 2007-05-09 |
| Find all providers in ATLANTA | ||||
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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.