NPIMap

Organization Active NPI

Oluwasegun John

  • Community Health Worker
  • Clinton, MD
National Provider Identifier
1073429031
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
OLUWASEGUN JOHN
Practice address
6308 Danner Dr
Clinton, MD 20735-3859
Phone
(301) 364-8656
NPI assigned
Aug 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Oluwasegun Ajibola JohnNPI 1134035025
Title
Community Support Worker
Phone
(301) 364-8656

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)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

6308 Danner Dr
Clinton, MD 20735-3859

Mailing address

6308 Danner Dr
Clinton, MD 20735-3859
Phone (301) 364-8656

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1073429031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 DANNER DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353859",
            "telephone_number": "301-364-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 DANNER DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353859",
            "telephone_number": "301-364-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUWASEGUN JOHN",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "OLUWASEGUN",
        "authorized_official_middle_name": "AJIBOLA",
        "authorized_official_title_or_position": "COMMUNITY SUPPORT WORKER",
        "authorized_official_telephone_number": "301-364-8656"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.