Irene Ayoyinka Omotoso (NPI# 1205848785, PAC ID# 6608765193) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1205848785 |
| PAC ID by PECOS | 6608765193 |
| Professional Enrollment ID | I20050509000621 |
| Full Name | Irene Ayoyinka Omotoso |
| Address |
401 Westpark Ct Suite 200 Peachtree City GA 30269-3572 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110215 | PIEDMONT FAYETTE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 401 Westpark Ct, Suite 200, Peachtree City, GA 30269-3572 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Street Address |
401 WESTPARK CT SUITE 200 |
| City | PEACHTREE CITY |
| State | GA |
| Zip | 30269-3572 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Namita Rao | Physical Therapy | Orthoatlanta, LLC | 2785 Hwy 54 W, Peachtree City, GA 30269 |
| David Bowen | Diagnostic Radiology | Outpatient Imaging, LLC | 10 Eastbrook Bend, Peachtree City, GA 30269 |
| Esther Barnes Klein | Nurse Practitioner | Peachtree City Urgent Care, Inc | 8 Eastbrook Bend, Suite B, Peachtree City, GA 30269 |
| Holly S Oclair | Optometry | John L. Henahan, Od, Poc | 361 Hwy 74 N, Peachtree City, GA 30269 |
| Mathew J Autera | Chiropractic | 1952 Hwy 54 W, Peachtree City, GA 30269 | |
| Eric Adam Shearer | Chiropractic | 357 Hwy 74 N, Suite 1, Peachtree City, GA 30269 | |
| Kimberly S Anderson | Optometry | John L. Henahan, Od, Poc | 361 Hwy 74 N, Peachtree City, GA 30269 |
| Tyler J Blomquist | Nurse Practitioner | Peachtree City Urgent Care, Inc | 8 Eastbrook Bend, Suite B, Peachtree City, GA 30269 |
| Tony Chung | Physical Therapy | Orthoatlanta, LLC | 2785 Hwy 54 W, Peachtree City, GA 30269 |
| Stephanie G Caviness | Physician Assistant | Peachtree City Urgent Care, Inc | 8 Eastbrook Bend, Suite B, Peachtree City, GA 30269 |
| Find all physicians in zip 30269 | |||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PEACHTREE CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Irene Ayoyinka Omotoso.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.