Active NPI
Omo Ijesa PLLC
- Internal Medicine Physician
- Tucson, AZ
National Provider Identifier
1003436197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- OMO IJESA PLLC
- Practice address
- 7309 E 28TH St
Tucson, AZ 85710-5505 - Phone
- (510) 345-8981
- Fax
- (520) 253-7229
- NPI assigned
- Apr 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Akinbola Adewole Ajayi-Obe, MD
- Title
- Owner
- Phone
- (510) 345-8981
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
7309 E 28TH St
Tucson, AZ 85710-5505
Mailing address
PO Box 7362
McMinnville, TN 37111-7362
Phone (510) 345-8981
Other names 1
- Ibi Arojinle Institut fur Gesundheit
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4600 Forbes Blvd
Ste A26301
Lanham, MD 20706
Phone (510) 345-8981
4600 Forbes Blvd
Ste 301
Lanham, MD 20706
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lanham, MD
- NPI 1265850549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734393600000",
"number": "1003436197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7362",
"city": "MCMINNVILLE",
"state": "TN",
"postal_code": "371117362",
"telephone_number": "510-345-8981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7309 E 28TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857105505",
"telephone_number": "510-345-8981",
"fax_number": "520-253-7229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMO IJESA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-20",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A",
"authorized_official_last_name": "AJAYI-OBE",
"authorized_official_first_name": "AKINBOLA",
"authorized_official_middle_name": "ADEWOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-345-8981",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ibi Arojinle Institut fur Gesundheit",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.