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OLAMIDE AYOTOLA AJAGBE M.D. NPI 1245470855


NPI Information

NPI: 1245470855
Provider Name: OLAMIDE AYOTOLA AJAGBE, M.D.
Classification: Hospitalist - 208M00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
750 E ADAMS ST
SYRACUSE, NY
ZIP 13210
Phone: (315) 464-5450
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Olamide Ayotola Ajagbe, M.D. is a hospitalist in Syracuse, NY. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Olamide Ayotola Ajagbe, M.D. NPI is 1245470855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

750 E ADAMS ST
SYRACUSE, NY
ZIP 13210-342
Phone: (315) 464-5450
Fax: (315) 464-6322

The NPI 1245470855 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/23/2009 and was last updated on 8/27/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics261255NEW YORKNo
2208M00000XHospitalist261255NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103357600MEDICAIDNEW YORK
2J400063368MEDICARE PINNEW YORK
3J400050820MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.