Olumide Ibrahim Anifowoshe, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

37852 Issued in TN

Practice address

200 Stonecrest Blvd
Smyrna, TN 37167-6810

Phone

(615) 768-2000

Fax

(615) 768-2707

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Clarksville Physician Services, LLC

  • Rural Health Clinic/Center
  • Dover, TN
  • NPI 1992077077
  NPD (past)
• Hospitalists at Stonecrest LLC

  • Specialist
  • Smyrna, TN
  • NPI 1356511893
  NPD (past)
• Long Hunter Inpatient Services PLLC

  • Hospitalist Physician
  • Smyrna, TN
  • NPI 1093097651
  NPD (past)
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441
  NPD (past)
• Tennessee Heart and Lung Institute PLC

  • Specialist
  • Clarksville, TN
  • NPI 1699802371
  NPD (past)
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1972558286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STONECREST BLVD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676810",
            "telephone_number": "615-768-2000",
            "fax_number": "615-768-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STONECREST BLVD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676810",
            "telephone_number": "615-768-2000",
            "fax_number": "615-768-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIFOWOSHE",
        "first_name": "OLUMIDE",
        "middle_name": "IBRAHIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "37852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38892822",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Anderson, MS, CCC-SLP
• Michael David Anderson, M.D.
• Sarah Anderson, FNP-BC
• Chipta Mulyana Anerin, PHARM.D
• Angel Wings Transport LLC
• Antioch Medical Supply Inc
• Bezawit Ararsa
• Joseph Archuletta
• Morgan Arnett, PT, DPT
• Meri Christie Arney, NP

• Hospitalist Physician in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Hospitalist Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.