Olufemi Oladele-Ajose MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

32077 Issued in IA

Legal business name

OLUFEMI OLADELE-AJOSE MD PC

Practice address

118 W Wheeler St
West Burlington, IA 52655-1247

Phone

(319) 754-7749

Fax

(319) 754-7756

NPI assigned

Feb 15, 2006

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Burlington Internal Medicine Doing business as

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "49346",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400383",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlington Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in West Burlington, IA
• Providers in West Burlington, IA by specialty
• Internal Medicine Physician in Iowa

• 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.