Temidayo Adekoyejo Olurin, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C10005400 Issued in DE

Practice address

1403 N Rodney St
Wilmington, DE 19806-4218

Phone

(302) 654-4800

Fax

(302) 984-0440

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pecos T Olurin Professional name

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christiana Care Health Services, Inc

  dba CCHS Pmri

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1770568107
  Medicare reassignment Care Compare group NPD
• Pecos T. Olurin MD, PA

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1518022235
  Medicare reassignment Authorized official
• Christiana Care Health Services Inc

  dba CCHS Opthalmology

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1285619635
  NPD
• Christiana Care Health Services Inc

  dba CCHS Concord - Neurology

  • Neurology Physician
  • Chadds Ford, PA
  • NPI 1881228484
  NPD
• Suburban Internal Medicine Associates, PA

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1699889154
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1093710691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 N RODNEY ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064218",
            "telephone_number": "302-654-4800",
            "fax_number": "302-984-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 N RODNEY ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064218",
            "telephone_number": "302-654-4800",
            "fax_number": "302-984-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLURIN",
        "first_name": "TEMIDAYO",
        "middle_name": "ADEKOYEJO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "C10005400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000912001",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PECOS",
            "last_name": "OLURIN",
            "middle_name": "T",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jill Olshenske
• Grace Elizabeth Olson, DNP, APRN, FNP-BC
• Patricia J Olszewsky, CPNP
• Oluremi Emmanuel Oludare
• Omowumi O Olurin, M.D
• Olufisayo A Oluwafemi, PHARMD
• Omega Project PT
• Fiyinfoluwa Omifare
• Elizabeth Omolade, DIRECTOR
• One Step Forward ABA de Inc.

• Ophthalmology Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Ophthalmology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.