Olumuyiwa Paul MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0052606 Issued in MD

Legal business name

OLUMUYIWA PAUL MD PA

Practice address

12150 Annapolis Rd
Suite 305
Glenn Dale, MD 20769

Phone

(240) 245-4203

NPI assigned

Jul 15, 2006

Last updated

Nov 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olumuyiwa Paul, MDNPI 1730105297

Title

Ceo

Phone

(703) 327-5316

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olumuyiwa A Paul, MD

  • Specialist
  • Glenn Dale, MD
  • NPI 1730105297

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1427074988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD.",
            "address_2": "SUITE 305",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "20769",
            "telephone_number": "240-245-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD",
            "address_2": "SUITE 305",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "20769",
            "telephone_number": "240-245-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUMUYIWA PAUL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "OLUMUYIWA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-327-5316",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0052606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ikechi F Okwara, MD
• Nkechi Okwara
• Stella Oladokun
• Funmilayo Olugbemi, CRNP-PMH
• Adenike Cecilia Olukoya
• Agnes Oluyemi, RN
• Phillip H Omohundro, M.D.
• Rachael Omole
• Parfait Eloundou Onana
• Nneka Onuzulike, PMHNP-BC

• Specialist in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.

Verify at the official NPI Registry.