Temitope Adetola Fanimo, MD is a medicare enrolled "Otolaryngology" physician in Concord Township, Ohio. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice University Primary Care Practices Inc and her current practice location is
7580 Auburn Rd Ste 103, Concord Township, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 352-1474.
Temitope Adetola Fanimo is licensed to practice in Ohio (license number 35.154015) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821625682.
Physician's Profile
| Full Name | Temitope Adetola Fanimo |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Experience | 6 Years |
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| Location | 7580 Auburn Rd Ste 103, Concord Township, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Temitope Adetola Fanimo attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2020
NPI Data:
- NPI Number: 1821625682
- Provider Enumeration Date: 03/23/2020
- Last Update Date: 06/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547691545
- Enrollment ID: I20251203002900
Medical Identifiers
Medical identifiers for Temitope Adetola Fanimo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821625682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 35.154015 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Primary Care Practices Inc | 3072417534 | 1073 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Temitope Adetola Fanimo is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Temitope Adetola Fanimo, MD
3630 Lindholm Rd,
Shaker Heights, OH 44120-5127
Ph: (708) 439-9490 | Temitope Adetola Fanimo, MD
7580 Auburn Rd Ste 103,
Concord Township, OH 44077-9616
Ph: (440) 352-1474 |
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