Olabisi L Emenanjo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0003491 Issued in MD

Practice address

2977 4H Park Rd # 125
Centreville, MD 21617-2232

Phone

(410) 989-9859

NPI assigned

Sep 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: olabisi.emenanjo.1@14940.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Contee Emergency Physicians

  • Emergency Medicine Physician
  • Laurel, MD
  • NPI 1710936398

  Physician Assistant

  NPD (past)
• Dimensions Health Corporation

  • Diagnostic Radiology Physician
  • Bowie, MD
  • NPI 1124057427
  NPD (past)

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1679723274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "address_2": "#76572",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210450332",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2977 4H PARK RD # 125",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172232",
            "telephone_number": "410-989-9859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Annapolis Rd",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211131602",
            "country_code": "US",
            "telephone_number": "443-351-3917",
            "fax_number": "443-351-3918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9920 Franklin Square Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Nottingham",
            "state": "MD",
            "postal_code": "212360016",
            "country_code": "US",
            "telephone_number": "410-541-8310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMENANJO",
        "first_name": "OLABISI",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003491",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA030495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1110 Annapolis Rd",
            "city": "Odenton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211131602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Ebbets, DO
• Caroline Hofstetter Ecker
• Marianna Edmonston, COTA/L
• Franklin Dolan Edwards, R.PH
• Susan Rhodes Edwards, P.T.
• Eric F Ciganek MD
• Everside Health-Queen Anne'S Health Center
• Lisa Ford, OTR
• Gary B. Fry, LCA066
• Dieudonne Fuh, PHARMD

• Physician Assistant in Centreville, MD
• Providers in Centreville, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.