Oluyomi Faparusi Sr., M.D., J.D., PH.D.

Primary specialty

Legal Medicine (M.D./D.O.) PhysicianTaxonomy code 209800000X

License

54688-20 Issued in WI

Practice address

1274 Wheatley Forest Dr
Brentwood, TN 37027-8342

Phone

(410) 375-9817

NPI assigned

Feb 8, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1780956557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 WHEATLEY FOREST DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278342",
            "telephone_number": "410-375-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 WHEATLEY FOREST DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278342",
            "telephone_number": "410-375-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAPARUSI",
        "first_name": "OLUYOMI",
        "name_suffix": "Sr.",
        "credential": "M.D., J.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "WI",
            "license": "54688-20",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "WI",
            "license": "54688-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faiza Memon, MD PLLC
• Leandro Andres Fajardo Alonso
• Family Chiropractic PC
• Family Home Care LLC
• Celia Fanchier, DPT
• Faraday Chattanooga PC
• Ameer Hasan Fare
• Ihab Hasan Fare
• Jared Farley
• Nicola Ann Farmer, FNP-C

• Legal Medicine (M.D./D.O.) Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Legal Medicine (M.D./D.O.) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.