Oduwole Organization Inc

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

042381 Issued in GA

Legal business name

ODUWOLE ORGANIZATION INC

Practice address

1415 Highway 85 N Ste 310-296
Fayetteville, GA 30214-7738

Phone

(678) 571-2956

Fax

(770) 234-5103

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Adefifayo Oduwole, M.D.

Title

Owner

Phone

(678) 571-2956

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adefisayo Oduwole, MD

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1952301830
  Medicare reassignment
• Patricia A Baines, MD

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1992738389
  NPD (past)
• Gerald Peterman, NP

  • Nurse Practitioner
  • Warner Robins, GA
  • NPI 1649289653
  NPD (past)
• Abbas A Chamsuddin, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1578539557
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1659560647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N STE 310-296",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147738",
            "telephone_number": "678-571-2956",
            "fax_number": "770-234-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N STE 310-296",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147738",
            "telephone_number": "678-571-2956",
            "fax_number": "770-234-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODUWOLE ORGANIZATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "ODUWOLE",
        "authorized_official_first_name": "ADEFIFAYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-571-2956",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "042381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutrix Healthcare
• Ifeyinwa In Nwakor, RN
• Shealyn Kay O'Donnell, OTR/L
• Francis O'Rourke
• Octavia House, LLC
• Paul Joseph Oenick, PA
• Morgan India Offord, M. S.
• Conor Reed Oja, PT, DPT
• Adaobi Okocha, MD, MPH
• Chinwe Okoro

• Interventional Cardiology Physician in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Interventional Cardiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.