Organization Active NPI

Olufemi Oladele-Ajose MD PC

Doing business as Burlington Internal Medicine

  • Internal Medicine Physician
  • West Burlington, IA
National Provider Identifier
1699749572
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32077 Issued in IA
Legal business name
OLUFEMI OLADELE-AJOSE MD PC
Doing business as
Burlington Internal Medicine
Practice address
118 W Wheeler St
West Burlington, IA 52655-1247
Phone
(319) 754-7749
Fax
(319) 754-7756
NPI assigned
Feb 15, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Olufemi T Oladele-Ajose, MD
Title
MD
Phone
(319) 754-7749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 32077 IA Primary

Addresses

Primary practice location

118 W Wheeler St
West Burlington, IA 52655-1247

Mailing address

118 W Wheeler St
West Burlington, IA 52655-1247
Phone (319) 754-7749

Other names 1

  • Burlington Internal Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

118 W Wheeler St
West Burlington, IA 52655
Phone (319) 209-2226

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1699749572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W WHEELER ST",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551247",
            "telephone_number": "319-754-7749",
            "fax_number": "319-754-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W WHEELER ST",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551247",
            "telephone_number": "319-754-7749",
            "fax_number": "319-754-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLUFEMI OLADELE-AJOSE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "OLADELE-AJOSE",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "319-754-7749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "32077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlington Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.