Healthcare Provider Details

I. General information

NPI: 1437317005
Provider Name (Legal Business Name): OJEDAPO A. OJEYEMI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DAPO OJEYEMI M.D

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 07/12/2021
Certification Date: 07/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5205 CHAIRMANS CT STE 201A
FREDERICK MD
21703-2918
US

IV. Provider business mailing address

5205 CHAIRMANS CT STE 201A
FREDERICK MD
21703-2918
US

V. Phone/Fax

Practice location:
  • Phone: 240-629-3939
  • Fax: 240-629-3940
Mailing address:
  • Phone: 240-629-3939
  • Fax: 240-629-3940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberMD039826
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberN5918
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberD0073234
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: