DR. GRACE BOLUWAPE OLOWO (NPI# 1972980647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972980647 |
| Entity Type | Individual |
| Full Name | DR. GRACE BOLUWAPE OLOWO |
| Credential | MD |
| Practice Address |
Hsc L2-144 Stony Brook NY 11794 |
| Mailing Address |
Hsc L2-155 Stony Brook NY 11794-8228 |
| Practice Telephone | 6314444630 |
| Practice Fax Number | 6314444652 |
| Mailing Telephone | 6314444630 |
| Mailing Fax Number | 6314444652 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 294393 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
HSC L2-144 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619402385 | Rajbir S Tanda | Internal Medicine | Stony Brook Ufpc Sbumc Hsc Level 16 Room 20, Stony Brook, NY 11794-1256 | 2017-05-01 |
| 1740712751 | Nicole Marie Lum | Internal Medicine | Suny Stony Brook Hospital 101 Nicolls Rd, Dept. of Medicine, Hsc Level 16, Stony Brook, NY 11794-0001 | 2017-03-29 |
| 1538612403 | Afzal Mohammed Sheikh | Internal Medicine | 101 Nicolls Rd # T16-020, Stony Brook, NY 11794-0001 | 2016-07-27 |
| 1447607171 | Chao-wei Tsai | Internal Medicine | 101 Nicolls Rd # Hscl3045, Stony Brook, NY 11794-0001 | 2016-05-23 |
| 1588028534 | Zalak Desai | Internal Medicine | 101 Nicolls Road, Deptartment of Medicine, Hsc Level 16, Room 020, Stony Brook, NY 11794-8160 | 2016-04-06 |
| 1467849067 | Charles Ramkishun | Internal Medicine | Dept. of Medicine, Hsc Level 16, Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2015-04-21 |
| 1194112235 | Elixabeth Laskurain Sullivan | Internal Medicine | Dept of Medicine Hsc Level 16 Suny Stony, Stony Brook, NY 11794-0001 | 2015-04-15 |
| 1063808921 | Venu Pasricha | Internal Medicine | Stony Brook University Medical Center Hsc T 17-040, Stony Brook, NY 11794-0001 | 2015-04-07 |
| 1225448715 | Lorenzo Ottaviano | Internal Medicine | Dept of Medicine Hsc Level 16 020, Suny Stony Brook Hospital, Stony Brook, NY 11794-0001 | 2014-05-06 |
| 1649690397 | Rian Shah | Internal Medicine | Department of Pulmonary Med 101 Nicolls Rd, Level 17, Stony Brook, NY 11794 | 2014-04-21 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
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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.