Suburban Internal Medicine Associates, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2002107036 Issued in DE

Legal business name

SUBURBAN INTERNAL MEDICINE ASSOCIATES, PA

Practice address

1403 N Rodney St
Wilmington, DE 19806-4218

Phone

(302) 654-4800

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Omo Olurin, MD

Title

President

Phone

(302) 654-4800

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Omowumi O Olurin, M.D

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1548265168
  NPD (past)
• Temidayo Adekoyejo Olurin, M.D.

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1093710691
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1699889154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 N RODNEY ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064218",
            "telephone_number": "302-654-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 N RODNEY ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064218",
            "telephone_number": "302-654-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN INTERNAL MEDICINE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "OLURIN",
        "authorized_official_first_name": "OMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-654-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "2002107036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Kathryn Stush, CRNP
• Alvin Weii Su, MD, PHD
• Peter Francis Subach, DMD
• Maya Subin
• Sublime Mind LLC
• Suburban Psychiatric Services
• Successworks Unlimited, Inc.
• Raymisha Ozolyn Sudler, PHARMD
• Lisa D'Angelo Sugar, APN
• Edmund Deforest Sugzdinis Jr., BC-HIS

• Internal Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Internal Medicine Physician in Delaware

• 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.