DR. OLUSANJO OLAOLUWA ADEOYE MD, MBA
NPI 1477716348
Orthopaedic Surgery - Sports Medicine in Grand Rapids, MI

Active since July 09, 2008
4100 LAKE DR SE, SUITE 300, GRAND RAPIDS, MI 49546(616) 267-8860(616) 267-8442 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Olusanjo Olaoluwa Adeoye Md, Mba NPPES

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

DR. OLUSANJO OLAOLUWA ADEOYE MD, MBA (NPI 1477716348) is an individual sports medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301104001) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1477716348
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. OLUSANJO OLAOLUWA ADEOYECredential: MD, MBA
Location Address4100 LAKE DR SE, SUITE 300Grand Rapids, MI 49546-8292
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Fax(616) 267-8442
Sole ProprietorYes
Enumeration DateJuly 9, 2008
Last NPPES UpdateFebruary 8, 2017
NPI 1477716348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in MI · 4301104001
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 4301104001 (MI)
4100 LAKE DR SE, Grand Rapids, MI 49546

Other Identifiers 2

Medicare PINM74460918MI
Medicaid1477716348MI

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.

Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Internal Medicine (Gastroenterology)
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Dietitian, Registered
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Orthopaedic Surgery
4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546
Physician Assistant
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Specialist/Technologist (Athletic Trainer)
4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546

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 Olusanjo Adeoye's NPI number?

The NPI number for Olusanjo Adeoye is 1477716348. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Olusanjo Adeoye located?

Olusanjo Adeoye practices at 4100 Lake Dr SE Suite 300, Grand Rapids, MI 49546. The listed phone number is (616) 267-8860.

What is Olusanjo Adeoye's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Olusanjo Adeoye was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.