ADEYIZA OLUTOYIN MOMOH (NPI# 1962732156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962732156 |
Entity Type | Individual |
Full Name | ADEYIZA OLUTOYIN MOMOH |
Credential | MD |
Practice Address |
24 Frank Lloyd Wright Drive Ann Arbor MI 48105-9484 |
Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
Practice Telephone | 7349986022 |
Mailing Telephone | 7349362047 |
Enumeration Date | 2010-01-11 |
Last Update Date | 2011-09-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
4301099535 | MI | Allopathic & Osteopathic Physicians |
Y | 208200000X | Plastic Surgery | 4301099535 | MI | Allopathic & Osteopathic Physicians |
N | 208200000X | Plastic Surgery | BP20030011 | TX | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 4301099535 | MI | Allopathic & Osteopathic Physicians |
Street Address |
24 FRANK LLOYD WRIGHT DRIVE |
City | ANN ARBOR |
State | MI |
Zip Code | 48105-9484 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457384067 | Regents of The University of Michigan | Orthopaedic Surgery | 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI 48105 | 2006-07-08 |
1245732791 | Jamie Wisniewski | Physical Therapy Assistant | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106 | 2018-03-01 |
1164924627 | Amanda Renea Eggleston | Physical Therapy Assistant | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106 | 2018-03-01 |
1942736194 | Kelsey Lauren Johnson | Physician Assistant | 24 Frank Lloyd Wright Drive, Domino's Farms, Lobby A, Ann Arbor, MI 48105-9484 | 2017-05-10 |
1801291315 | Progressive Sleep, Plc | Family Medicine | 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI 48106-0326 | 2014-10-27 |
1033524335 | Regents of The University of Michigan | Pediatrics | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105 | 2014-06-25 |
1033524764 | Daniel Shelden | Internal Medicine | 24 Frank Lloyd Wright Drive, Lobby G, Suite 1500, Ann Arbor, MI 48106 | 2014-06-20 |
1427327618 | Karen Engfehr | Specialist/Technologist | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106-0391 | 2011-12-19 |
1245521848 | Elizabeth Anne Jeffery | Nurse Practitioner | 24 Frank Lloyd Wright Drive, Lobby M Level 2, Ann Arbor, MI 48105-9484 | 2011-04-29 |
1578881041 | Mari Paz Castanedo Tardan | Dermatology | 24 Frank Lloyd Wright Drive, Lobby H Suite 2350, Ann Arbor, MI 48105-9484 | 2010-05-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
Find all providers in zip 48105 |
Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871812438 | Tiffany Ballard | Plastic Surgery | 2300 Washtenaw Ave Ste 100, Ann Arbor, MI 48104-4500 | 2010-05-21 |
1790191047 | David William Grant | Plastic Surgery | 1500 East Medical Center Drive, 2130 Taubman Center, Spc 5340, Ann Arbor, MI 48109 | 2014-07-08 |
1386082634 | Shane Douglas Morrison | Plastic Surgery | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2013-06-10 |
1851737233 | Michael Sorkin | Plastic Surgery | 1500 E Medical Center Dr, 2128 Taubman Center, Ann Arbor, MI 48109-5340 | 2013-05-13 |
1801139845 | Paige L Myers | Plastic Surgery | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2013-03-28 |
1801005616 | Christian John Vercler | Plastic Surgery | 1500 East Medical Center Dr, 3rd Floor C.s. Mott Children's Hosp Rm Cw3-978, Ann Arbor, MI 48109-4219 | 2007-05-21 |
1417079765 | Jeffrey Hall Kozlow | Plastic Surgery | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105-9484 | 2007-04-06 |
1932228871 | Benjamin Levi | Plastic Surgery | 24 Frank Lloyd Wright Dr, Lobby A, Ann Arbor, MI 48105-9484 | 2007-03-29 |
1396877064 | Erika Davis Sears | Plastic Surgery | 24 Frank Lloyd Wright Dr, Lovvy A, Ann Arbor, MI 48105-9484 | 2007-03-09 |
1629178488 | David L Brown | Plastic Surgery | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2006-09-22 |
Find all providers in ANN ARBOR |
Please comment or provide details below to improve the information on ADEYIZA OLUTOYIN MOMOH.
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.