OMOTAYO FAWIBE MD LLC
NPI 1295494029
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Fort Wayne, IN

Active since December 09, 2021
14726 AMERA CIR, FORT WAYNE, IN 46845(832) 606-7941 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Omotayo Fawibe Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMOTAYO FAWIBE MD LLC (NPI 1295494029) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Fort Wayne, Indiana and active in the NPI registry since December 2021. The organization lists Omotayo Fawibe, Owner, as its authorized official.

NPPES Registry Identity

NPI1295494029
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameOMOTAYO FAWIBE MD LLC
Location Address14726 AMERA CIRFort Wayne, IN 46845-0027
Mailing Address14726 Amera CirFort Wayne, IN 46845-0027
Organization SubpartNo
Authorized OfficialOmotayo FawibeOwner · (832) 606-7941
Enumeration DateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
NPI 1295494029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
14726 AMERA CIR, Fort Wayne, IN 46845

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omotayo Fawibe MD LLC's NPI number?

The NPI number for Omotayo Fawibe MD LLC is 1295494029. It was assigned to this organization in the NPPES registry on December 9, 2021.

Where is Omotayo Fawibe MD LLC located?

Omotayo Fawibe MD LLC is located at 14726 Amera Cir, Fort Wayne, IN 46845. The listed phone number is (832) 606-7941.

What is Omotayo Fawibe MD LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Omotayo Fawibe MD LLC was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.