NPIMap

Organization Active NPI

Oasis Health Ventures

  • Family Medicine Physician
  • Windsor Mill, MD
National Provider Identifier
1447701396
Registry record updated Mar 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OASIS HEALTH VENTURES
Practice address
2500 N. Rolling Road (Suite 100)
Windsor Mill, MD 21244
Phone
(443) 272-2614
Fax
(443) 272-2664
NPI assigned
Oct 16, 2016
Reactivated
Mar 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2020

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

Authorized official

Name
Olufemi Olawale, NPNPI 1497272777
Title
Owner
Phone
(443) 272-2614

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2500 N. Rolling Road (Suite 100)
Windsor Mill, MD 21244

Mailing address

2500 N. Rolling Road (Suite 100)
Windsor Mill, MD 21244
Phone (443) 272-2614

Other identifiers 2

IdentifierTypeStateIssuer
500166800MedicaidMD
MH 260OtherMDLICENSE

National Provider Directory

National Provider Directory
Tax ID family
Oasis Health Ventures6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the 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": "1476576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585440000000",
    "number": "1447701396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N. ROLLING ROAD (SUITE 100)",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "21244",
            "telephone_number": "443-272-2614",
            "fax_number": "443-272-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N. ROLLING ROAD (SUITE 100)",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "21244",
            "telephone_number": "443-272-2614",
            "fax_number": "443-272-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS HEALTH VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-16",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "deactivation_date": "2020-03-15",
        "reactivation_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "OLAWALE",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-272-2614",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500166800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MH 260",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; 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.