OYINDAMOLA ABIMBOLA OMIJE MD - NPI 1386806636 - Psychiatry & Neurology in Lebanon, PA

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

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About Oyindamola Abimbola Omije Md NPPES

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

OYINDAMOLA ABIMBOLA OMIJE MD (NPI 1386806636) is an individual child & adolescent psychiatry provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MD447848) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1386806636

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameOYINDAMOLA ABIMBOLA OMIJECredential: MD

Location Address283 S BUTLER RDLebanon, PA 17042-8939

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969

Phone(717) 273-8871

Fax(717) 270-2429

Sole ProprietorNo

Enumeration DateJune 27, 2008

Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration

NPPES CertifiedAugust 8, 2024

✔ NPI 1386806636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in PA · MD447848

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD447848 (PA)

283 S BUTLER RD, Lebanon, PA 17042

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Other Names 1

Former Name (1)Oyindamola Abimbola Amao M.d

Secondary Practice Locations 6

Location 1501 E Main StWaynesboro, PA 17268-2353 · Phone (717) 765-4000

Location 2112 N 7th StChambersburg, PA 17201-1720 · Phone (717) 267-7771

Location 3147 Gettys StGettysburg, PA 17325-2534 · Phone (717) 334-2121

Location 41001 S George StYork, PA 17403-3676 · Phone (717) 851-2304

Location 5169 Martin AveEphrata, PA 17522-1734 · Phone (717) 733-0311

Location 6252 S 4th StLebanon, PA 17042-6111 · Phone (717) 821-8017 · Fax (717) 270-2401

Other Identifiers 2

OtherMD447848PA · State License

Medicaid102872758PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oyindamola Abimbola Omije Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILHAVEN

Psychiatric Residential Treatment Facility