OSIYEMI O OSINOWO MD
NPI 1962765024
Internal Medicine - Nephrology in Tyler, TX

Q: What is Osiyemi Osinowo's NPI number?

The NPI number for Osiyemi Osinowo is 1962765024. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Q: What is Osiyemi Osinowo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Osiyemi Osinowo was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 22, 2012

1133 MEDICAL DR, TYLER, TX 75701(903) 595-5486(903) 595-5128 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 28, 2020, Jan 15, 2020, Sep 26, 2018 and 1 more (4 updates tracked since 2018).

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About Osiyemi O Osinowo Md NPPES

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

OSIYEMI O OSINOWO MD (NPI 1962765024) is an individual nephrology provider in Tyler, Texas, licensed in Texas (R7840) and active in the NPI registry since June 2012. He maintains a secondary practice location in Huntington.

NPPES Registry Identity

NPI1962765024

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameOSIYEMI O OSINOWOCredential: MD

Location Address1133 MEDICAL DRTyler, TX 75701-2130

Mailing Address1133 Medical DrTyler, TX 75701-2130 · (903) 595-5486 · Fax (903) 595-5128

Phone(903) 595-5486

Fax(903) 595-5128

Sole ProprietorNo

Enumeration DateJune 22, 2012

Last NPPES UpdateJanuary 28, 20204 updates tracked since enumeration

✔ NPI 1962765024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · R7840

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 48247 (KY)

Also ListedHospitalistTaxonomy 208M00000X · License 48247 (KY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1133 MEDICAL DR, Tyler, TX 75701

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Secondary Practice Location 1

Location 11540 Spring Valley DrHuntington, WV 25704-9300 · Phone (304) 429-6741

Other Identifiers 1

Medicaid387463801TX

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.

IFEATU UCHENNA OTI MD

Internal Medicine (Nephrology)