Active NPI
Oluwadamilola Solabi Omoniyi, MD
- Developmental - Behavioral Pediatrics Physician
- Akron, OH
National Provider Identifier
1508642828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 57.255755
- Practice address
- 215 W Bowery St
Akron, OH 44308-1069 - Phone
- (330) 543-8050
- NPI assigned
- Sep 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 57.255755 | OH | Primary |
Addresses
Primary practice location
215 W Bowery St
Akron, OH 44308-1069
Mailing address
1 Canal Square PLZ Apt 1302
Akron, OH 44308-1061
Phone (945) 217-2711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.255755 | OH | MD | Developmental - Behavioral Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1508642828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CANAL SQUARE PLZ APT 1302",
"city": "AKRON",
"state": "OH",
"postal_code": "443081061",
"telephone_number": "945-217-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W BOWERY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443081069",
"telephone_number": "330-543-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMONIYI",
"first_name": "OLUWADAMILOLA",
"middle_name": "SOLABI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-01",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "OH",
"license": "57.255755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.