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OLUWAFUNMI ONAOPEMIPO AWONUGA M.D. NPI 1790003093


NPI Information

NPI: 1790003093
Provider Name: OLUWAFUNMI ONAOPEMIPO AWONUGA, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
30 MONUMENT ROAD
SUITE 1100
YORK, PA
ZIP 17403
Phone: (717) 851-6454
Get Directions

Oluwafunmi Onaopemipo Awonuga, M.D. is a vascular surgery surgery in York, PA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Oluwafunmi Onaopemipo Awonuga, M.D. NPI is 1790003093. 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:

30 MONUMENT ROAD
SUITE 1100
YORK, PA
ZIP 17403-024
Phone: (717) 851-6454
Fax: (717) 851-1665

The NPI 1790003093 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 5/11/2010 and was last updated on 5/6/2021.


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
12086S0129XSurgeryVascular Surgery4155KENTUCKYNo
2208600000XSurgery4155KENTUCKYNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
42086S0129XSurgeryVascular SurgeryMD461014PENNSYLVANIAYes

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
11033487780001MEDICAIDPENNSYLVANIA

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.