Olukemi Ajayi Olugemo, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

D0065357 Issued in MD

Practice address

11637 Terrace Dr
Suite 100
Waldorf, MD 20602-3706

Phone

(301) 870-7287

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Olukemi Fehintola Ajayi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1508901281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 ELLERTON RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163926",
            "telephone_number": "443-928-2835",
            "fax_number": "301-805-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR",
            "address_2": "SUITE 100",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023706",
            "telephone_number": "301-870-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUGEMO",
        "first_name": "OLUKEMI",
        "middle_name": "AJAYI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0065357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUKEMI",
            "last_name": "AJAYI",
            "middle_name": "FEHINTOLA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stella Olamuyiwa
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• Shontese Oliver
• Bradley J Olson, DDS
• Olukayode Olufayo, DPT
• Aina Oluwo, PMHNP -BC
• Olubunmi Oluyede
• Omar F. Ahmad, M.D., P.C.
• Omg Holding LLC Dba Arcpoint Labs Southern Maryland
• One Alkaline Life LLC

• Neurology Physician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.