Individual provider · Type 1 NPI

Temitope Ogunnaike, PA-C, MHS

Physician Assistant · Waldorf, MD

NPI number 1093628059 Active

Practice location

12070 Old Line Ctr Ste 212
Waldorf, MD 20602-2567

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0010777 (MD)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093628059

Temitope Ogunnaike, PA-C, MHS's National Provider Identifier is 1093628059, issued on Sep 23, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waldorf, MD. The record was last updated on Sep 23, 2026.