Oluade A. Ajayi
Adolescent Medicine Neonatal-Perinatal Doctor
1200 Sixth Ave No Centracare Clinic
St Cloud
, Minnesota 56303-2735
Oluade A. Ajayi
Adolescent Medicine Neonatal-Perinatal Doctor
1200 Sixth Ave No Centracare Clinic
St Cloud
, Minnesota 56303-2735
(320) 252-5731
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About
Features
Specialties
- Adolescent Medicine
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Oluade A. Ajayi
- 1200 Sixth Ave No Centracare Clinic
- St Cloud, MN
- Zip : 56303-2735
- Phone : (320) 252-5731
Second Address
- Oluade A. Ajayi
- 1200 Sixth Ave No Centracare Clinic
- St Cloud, MN
- Zip : 56303-2735
- Phone : (320) 252-5731
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Is Oluade A. Ajayi a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080A0000X | Adolescent Medicine | 45643 | MN |
| Y | 2080N0001X | Neonatal-Perinatal Doctor | 036070002 | IL |
| N | 2080N0001X | Neonatal-Perinatal Doctor | 45643 | MN |
National Provider Identifier
| NPI | 1003898230 |
|---|---|
| Provider Name | Oluade A. Ajayi |
| First Address | St Cloud, MN 56303-2735 |
| Second Address | St Cloud, MN 56303-2735 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2005 |
| Last Update Date | 23/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 09 25 2003 | MMSI (01) | |
| 1034801 | PREFERRED ONE (01) | |
| 171809 | U CARE (01) | |
| 1908369 | AMERICAS PPO (01) | |
| 1908369 | ARAZ GROUP (01) | |
| 2115953 | FIRST HEALTH PLAN (01) | |
| 274R4AJ | BLUE CROSS BLUE SHIELD (01) | |
| 458988200 | (05) | MN |
| 458988200 | MEDICAL ASSISTANCE MA (01) | |
| 4700129 | MEDICA HEALTH PLANS (01) | |
| COM | GREAT WEST (01) | |
| COMP | CHAMPUS (01) | |
| COMP | ONE HEALTH PLAN (01) | |
| E28350 | (02) | |
| HP39081 | HEALTH PARTNERS (01) | |
| NE | RR MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.