Ibukun-Olu Akinyemi Isaacs, M.D

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

D0071845 Issued in MD

Practice address

23507 Hollywood Rd Ste 2
Leonardtown, MD 20650-5833

Phone

(301) 475-8860

Fax

(301) 473-3843

NPI assigned

Sep 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Ibukun Olu Akinyemi Isaacs Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1740430305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23507 HOLLYWOOD RD STE 2",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206505833",
            "telephone_number": "301-475-8860",
            "fax_number": "301-473-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23507 HOLLYWOOD RD STE 2",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206505833",
            "telephone_number": "301-475-8860",
            "fax_number": "301-473-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "IBUKUN-OLU",
        "middle_name": "AKINYEMI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0071845",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "FI1257763",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740430305",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IBUKUN OLU",
            "last_name": "ISAACS",
            "middle_name": "AKINYEMI",
            "prefix": "DR.",
            "credential": "M.D.,",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Natalie Park Hopkins, CRNP
• Amanda Nichole Hosier, CRNP
• William Ross Howsare
• Ashley Huffman
• Benjamin Chukwuma Igwe, P.T.
• Mohamed Issa, MD
• Roselyn M Itoe, M.D.
• Shadiase Jack
• Laura Jacobs
• Manthan Subhashchandra Jaiswal, M.D.

• Child & Adolescent Psychiatry Physician in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Child & Adolescent Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.