Oluwaseyi Bolaji Bolorunduro (NPI# 1689982217, PAC ID# 9931348620) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1689982217 |
| PAC ID by PECOS | 9931348620 |
| Professional Enrollment ID | I20170523000021 |
| Full Name | Oluwaseyi Bolaji Bolorunduro |
| Organization Legal Name | NOVA CARDIOVASCULAR CARE LLC NVCC |
| Address |
1990 Old Bridge Rd Suite 201 Woodbridge VA 22192-2383 |
| Phone Number | 7034926822 |
| Gender | M |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 3476734674 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490113 | SENTARA NORTHERN VIRGINIA MEDICAL CENTER |
| 490140 | STAFFORD HOSPITAL, LLC |
| 490022 | MARY WASHINGTON HOSPITAL |
| 490063 | INOVA FAIRFAX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 611 S Carlin Springs Rd, Suite 409, Arlington, VA 22204-1087 | 7034926822 | NOVA CARDIOVASCULAR CARE LLC NVCC |
| 422 Garrisonville Rd, Suite 104, Stafford, VA 22554-1573 | 5406282173 | NOVA CARDIOVASCULAR CARE LLC NVCC |
| 1990 Old Bridge Rd, Suite 201, Woodbridge, VA 22192-2383 | 7034926822 | NOVA CARDIOVASCULAR CARE LLC NVCC |
| Organization Legal Name | NOVA CARDIOVASCULAR CARE LLC NVCC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kambiz Yazdani | Cardiovascular Disease (cardiology) | Nova Cardiovascular Care LLC Nvcc | 14904 Jefferson Davis Hwy 106, Woodbridge, VA 22191-3908 |
| Jaime Alease Stephenson | Nurse Practitioner | Nova Cardiovascular Care LLC Nvcc | 611 S Carlin Springs Rd, Suite 409, Arlington, VA 22204-1087 |
| Matindokht Taheri | Nurse Practitioner | Nova Cardiovascular Care LLC Nvcc | 611 S Carlin Springs Rd, Suite 409, Arlington, VA 22204-1087 |
| Street Address |
1990 OLD BRIDGE RD SUITE 201 |
| City | WOODBRIDGE |
| State | VA |
| Zip | 22192-2383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter A Mendel | Family Medicine | Family Medicine of Lake Ridge PC | 3401 Commission Ct, Suite 201, Woodbridge, VA 22192-1771 |
| John James Wierzbicki | Family Medicine | Family Medicine of Lake Ridge PC | 3401 Commission Ct, Suite 201, Woodbridge, VA 22192-1771 |
| Julie D Oglesby | Nurse Practitioner | Family Medicine of Lake Ridge PC | 3401 Commission Ct, Suite 201, Woodbridge, VA 22192-1771 |
| Christian Lavenia | Nurse Practitioner | Rahel G. Yirga Md PC | 12185 Clipper Dr, Lake Ridge, VA 22192-2236 |
| Phuong Xuan Mai | Internal Medicine | 12191 Clipper Dr, Lake Ridge, VA 22192-2237 | |
| Amy Friedenthal | Internal Medicine | 12512 D Lake Ridge Dr, Woodbridge, VA 22192-2386 | |
| Abucar A Abdulle | Internal Medicine | 12761 Darby Brook Ct, Suite 101, Woodbridge, VA 22192-2405 | |
| Jaime L Parker | Clinical Social Worker | Woodbridge Therapy Group LLC | 12721 Darby Brook Ct, Suite 102, Woodbridge, VA 22192-2408 |
| Hemini P Naik | Psychologist, Clinical | Woodbridge Therapy Group LLC | 12721 Darby Brook Ct, Suite 102, Woodbridge, VA 22192-2408 |
| Daniel S Mills | Physical Therapy | Allcare Physical Therapy LLC | 1723 Financial Loop, Lake Ridge, VA 22192-2460 |
| Find all physicians in zip 22192 | |||
| City | WOODBRIDGE |
| Zip Code | 22192 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | WOODBRIDGE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Oluwaseyi Bolaji Bolorunduro.
| 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.