Olaitan Adeniji (NPI# 1255321089, PAC ID# 8729123070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1255321089 |
| PAC ID by PECOS | 8729123070 |
| Professional Enrollment ID | I20101102000723 |
| Full Name | Olaitan Adeniji |
| Organization Legal Name | GASTROENTEROLOGY SPECIALISTS OF GWINNETT, P.C. |
| Address |
721 Wellness Way Suite 100 Lawrenceville GA 30046-3304 |
| Phone Number | 7709953113 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 4082695143 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110087 | GWINNETT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 | 7709953113 | GASTROENTEROLOGY SPECIALISTS OF GWINNETT, P.C. |
| Organization Legal Name | GASTROENTEROLOGY SPECIALISTS OF GWINNETT, P.C. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela A Boyd | Nurse Practitioner | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| William G Tanner Jr. | Gastroenterology | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| Daniel B Lord | Gastroenterology | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| Zachary Z Martin | Gastroenterology | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| Jae Wook Nam | Gastroenterology | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| Street Address |
721 WELLNESS WAY SUITE 100 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip | 30046-3304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Spencer I Rozin | Internal Medicine | 721 Wellness Way, Suite 220, Lawrenceville, GA 30045-3303 | |
| Pamela A Boyd | Nurse Practitioner | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| William G Tanner Jr. | Gastroenterology | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| Daniel B Lord | Gastroenterology | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| Zachary Z Martin | Gastroenterology | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| Jae Wook Nam | Gastroenterology | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| David Nigel Armstrong | Colorectal Surgery (proctology) | Northside Surgical Professional Services LLC | 721 Wellness Way, Suite 200, Lawrenceville, GA 30046-3304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chundra Brooks | Nurse Practitioner | Aga Professional Services LLC | 301 Phillip Blvd, Suite A, Lawrenceville, GA 30046 |
| Gail S Hammond | Clinical Social Worker | 295 S Culver St, Suite A, Lawrenceville, GA 30046-3239 | |
| Kenneth L Knight | Clinical Social Worker | 295 S Culver St, Suite A, Lawrenceville, GA 30046-3239 | |
| Robert W Stevens | Chiropractic | 368 W Pike St, Suite 202, Lawrenceville, GA 30046-3240 | |
| Mehdi Kazemzadeh | Optometry | 575 Professional Dr, Suite 100, Lawrenceville, GA 30046-3300 | |
| Raymond L Stovall | Internal Medicine | 575 Professional Dr, Suite 310, Lawrenceville, GA 30046-3300 | |
| Jeffrey D Zwiren | Plastic and Reconstructive Surgery | Gwinnett Physician Group,llc | 100 Medical Ctr Blvd, Suite 165, Lawrenceville, GA 30046-3301 |
| Kelly H Scoggins | Nurse Practitioner | Gwinnett Physician Group,llc | 100 Medical Ctr Blvd, Suite 165, Lawrenceville, GA 30046-3301 |
| Julia Lupa | Nurse Practitioner | Unified Women's Care of Georgia LLC | 601 A Professional Dr, Suite 260, Lawrenceville, GA 30046-3325 |
| Abdul Hafeez | Dermatology | 631 Professional Dr, Suite 110, Lawrenceville, GA 30046-3325 | |
| Find all physicians in zip 30046 | |||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | LAWRENCEVILLE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Olaitan Adeniji.
| 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.