Individual provider Active NPI

Frederick Oladeinde

  • Home Health Aide
  • Towson, MD
National Provider Identifier
1700254273
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
R2448R Issued in MD
Practice address
1055 Taylor Ave
Suite 207
Towson, MD 21286-8317
Phone
(410) 321-6826
Fax
(410) 321-6827
NPI assigned
Sep 14, 2015
Last updated
Sep 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH1584 MD
Home Health Aide 374U00000X R2448R MD Primary
Nurse's Aide 376K00000X NS1309006 MD

Addresses

Primary practice location

1055 Taylor Ave
Suite 207
Towson, MD 21286-8317

Mailing address

1055 Taylor Ave
Suite 207
Towson, MD 21286-8317
Phone (410) 321-6826

Other identifiers 4

IdentifierTypeStateIssuer
068201200MedicaidMD
823702600MedicaidMD
411693300MedicaidMD
423729300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH1584MDMDMental Health Counselor
R2448RMDMDHome Health Aide
NS1309006MDMDNurse's Aide

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1700254273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 TAYLOR AVE",
            "address_2": "SUITE 207",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868317",
            "telephone_number": "410-321-6826",
            "fax_number": "410-321-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 TAYLOR AVE",
            "address_2": "SUITE 207",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868317",
            "telephone_number": "410-321-6826",
            "fax_number": "410-321-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADEINDE",
        "first_name": "FREDERICK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "MH1584",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "R2448R",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "NS1309006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068201200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823702600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411693300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423729300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.