ADEYIZA OLUTOYIN MOMOH


Address: 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105-9484
Phone: 7349986022

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 24 FRANK LLOYD WRIGHT DRIVE
City ANN ARBOR
State MI
Zip Code 48105-9484

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City ANN ARBOR
Zip Code 48105

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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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