Ayodeji Joshua Omosule, MBBS, MHA | |
8322 Bellona Ave Ste 330, Towson, MD 21204-2077 | |
(410) 825-6945 | |
(410) 825-8974 |
Full Name | Ayodeji Joshua Omosule |
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Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 8322 Bellona Ave Ste 330, Towson, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124550132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301112096 (Michigan) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | D0090521 (Maryland) | Primary |
Entity Name | Johns Hopkins University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
Entity Name | University Of Maryland St Joseph Pain Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639645393 PECOS PAC ID: 7618211160 Enrollment ID: O20181210003277 |
Mailing Address | Practice Location Address |
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Ayodeji Joshua Omosule, MBBS, MHA University Of Maryland, St Joseph Medical Center, 8322 Bellona Avenue, Suite 330, Towson, MD 21204 Ph: (410) 825-6945 | Ayodeji Joshua Omosule, MBBS, MHA 8322 Bellona Ave Ste 330, Towson, MD 21204-2077 Ph: (410) 825-6945 |
Dr. Lewis Hogge, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 6701 N Charles St, Towson, MD 21204 Phone: 410-296-4616 Fax: 410-337-5068 | |
Deondra Patrice-simmons Asike, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6701 N Charles St # 4226, Towson, MD 21204 Phone: 410-296-4616 | |
Aloise Diedrich, Anesthesiology Medicare: Medicare Enrolled Practice Location: 6701 N Charles St, Towson, MD 21204 Phone: 443-849-2000 | |
Dr. John Yang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6701 N Charles St, Towson, MD 21204 Phone: 410-296-4616 Fax: 410-337-5068 | |
William D. Zeichner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6701 N Charles St, Towson, MD 21204 Phone: 512-574-5552 | |
Dr. Gary Michael Vita, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7505 Osler Dr, Towson, MD 21204 Phone: 410-337-5337 | |
Theodore Grabow, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8322 Bellona Ave, Suite 330, Towson, MD 21204 Phone: 410-825-6945 Fax: 410-825-8974 |