NPIMap

Organization Active NPI

Medical Towers, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Randallstown, MD
National Provider Identifier
1972595502
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MEDICAL TOWERS, LLC
Practice address
5310 Old Court Rd
Suite 305
Randallstown, MD 21133-5243
Phone
(410) 655-7100
Fax
(410) 655-7919
NPI assigned
Aug 19, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Olusegan Lawoyin, M.D.NPI 1568454197
Title
Owner
Phone
(410) 655-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD Primary

Addresses

Primary practice location

5310 Old Court Rd
Suite 305
Randallstown, MD 21133-5243

Mailing address

5310 Old Court Rd
Suite 305
Randallstown, MD 21133-5243
Phone (410) 655-7100

Other identifiers 2

IdentifierTypeStateIssuer
KAU5OtherMDCAREFIRST BLUE SHIELD
W357OtherMDFEP/ BLUE CHOICE/ CAPITOL

National Provider Directory

National Provider Directory
Tax ID family
Medical Towers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5310 Old Court Rd
Ste 305
Randallstown, MD 21133
Phone (410) 655-6900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972595502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 OLD COURT RD",
            "address_2": "SUITE 305",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335243",
            "telephone_number": "410-655-7100",
            "fax_number": "410-655-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 OLD COURT RD",
            "address_2": "SUITE 305",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335243",
            "telephone_number": "410-655-7100",
            "fax_number": "410-655-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TOWERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAWOYIN",
        "authorized_official_first_name": "OLUSEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-655-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE SHIELD",
            "identifier": "KAU5",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEP/ BLUE CHOICE/ CAPITOL",
            "identifier": "W357",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.