Individual provider Active NPI

Temitope Fowora, FNP-BC

  • Family Nurse Practitioner
  • Towson, MD
National Provider Identifier
1972998086
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R180799 Issued in MD
Practice address
515 Fairmount Ave Ste 500
Towson, MD 21286-5466
Phone
(410) 494-1662
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R180799 MD Primary

Addresses

Primary practice location

515 Fairmount Ave Ste 500
Towson, MD 21286-5466

Mailing address

515 Fairmount Ave Ste 500
Towson, MD 21286-8502
Phone (443) 600-1038

Other identifiers 1

IdentifierTypeStateIssuer
1972998086MedicaidMD

Other names 1

  • Temitope Olusola Adedoyin - Osifowora Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150909001650 MD Practitioner - Nurse Practitioner 5193032084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Maryland St Joseph Medical Group LLCGroup PAC ID 4880846179, 288 clinicians

Practice addresses (Care Compare)

515 Fairmount Ave
Suite 300
Towson, MD 21286-8519
Phone (410) 296-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

515 Fairmount Ave
Ste 401
Towson, MD 21286
Phone (410) 337-1094

515 Fairmount Ave
Ste 500
Towson, MD 21286
Phone (410) 494-1662

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

515 Fairmount Ave
Ste 300
Towson, MD 21286
Phone (410) 296-5300

Interoperability endpoints

  • Direct secure messaging: temitope.fowora@pccab.directbygreenway.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1972998086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE STE 500",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868502",
            "telephone_number": "443-600-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE STE 500",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865466",
            "telephone_number": "410-494-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWORA",
        "first_name": "TEMITOPE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R180799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972998086",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEMITOPE",
            "last_name": "ADEDOYIN - OSIFOWORA",
            "middle_name": "OLUSOLA",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.