Trinity Obstetrics & Gynecology P.C.

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

D66180 Issued in MD

Legal business name

TRINITY OBSTETRICS & GYNECOLOGY P.C.

Practice address

1414 Crain Hwy N Ste 1a
Glen Burnie, MD 21061-9307

Phone

(410) 760-1118

Fax

(410) 760-1120

NPI assigned

Feb 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Adegboyega Ibukunolu Adejana, M.D.NPI 1316149909

Title

Medical Director

Phone

(410) 967-3268

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Adegboyega Ibukunolu Adejana, M.D.

  • Obstetrics & Gynecology Physician
  • Glen Burnie, MD
  • NPI 1316149909
  Medicare reassignment NPD Authorized official
• Lisa Lesane

  • Family Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1225411978
  NPD (past)
• Vijayalakshmi Nimmagadda, M.D

  • Gynecology Physician
  • Glen Burnie, MD
  • NPI 1992854285
  NPD (past)

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1720327893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 CRAIN HWY N STE 1A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210619307",
            "telephone_number": "410-760-1118",
            "fax_number": "410-760-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 CRAIN HWY N STE 1A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210619307",
            "telephone_number": "410-760-1118",
            "fax_number": "410-760-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY OBSTETRICS & GYNECOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "ADEJANA",
        "authorized_official_first_name": "ADEGBOYEGA",
        "authorized_official_middle_name": "IBUKUNOLU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-967-3268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MD",
            "license": "D66180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Demetri Tsiolkas
• Ashley Ka Yan Tsu, CRNP-PMH

• Obstetrics Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Obstetrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.