Adewale Ogunwo, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

5005501 Issued in NC

Practice address

1905 Skibo Rd
Fayetteville, NC 28314-0260

Phone

(910) 864-4357

Fax

(910) 221-0099

NPI assigned

Feb 15, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Graceful Aging,PC

  • Geriatric Medicine (Family Medicine) Physician
  • Fayetteville, NC
  • NPI 1316259013
  NPD (past)

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1225301708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 BARDOLINO DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283064636",
            "telephone_number": "910-868-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 SKIBO RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140260",
            "telephone_number": "910-864-4357",
            "fax_number": "910-221-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNWO",
        "first_name": "ADEWALE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5005501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "NC5209A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stella Chinyere Ogbu, MBBS
• Uchenna Stephanie Ogbudinkpa, PHARMD
• Eferoghene O Oghreikanone, CCRN, FNP
• Abimbola A Ogunleye-Kolawole, DNP, FNP-C
• Adetutu Mojisola Sandra Ogunleye, CRNM
• Nyaradzo Ogunwo, NP
• Susannah Ogunwo, MD
• Eugenia Egondu Ohadugha, MA,LPC.
• Franklin Chinagorom Ohiagbaji, M.D.
• Babatunde Ojo, M.D.

• Gerontology Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.