Abiodun Oluwagbenga Sobowale

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PO000261 Issued in PA

Practice address

600 Washington Ave Ste 18UC
Philadelphia, PA 19147-4836

Phone

(215) 298-0608

Fax

(215) 298-0608

NPI assigned

Sep 2, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete Care Prosthetics and Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Philadelphia, PA
  • NPI 1225628670

  Prosthetist

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1154099240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 LYDIA DR STE 18UC",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771912",
            "telephone_number": "732-500-0612",
            "fax_number": "215-298-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WASHINGTON AVE STE 18UC",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474836",
            "telephone_number": "215-298-0608",
            "fax_number": "215-298-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOWALE",
        "first_name": "ABIODUN",
        "middle_name": "OLUWAGBENGA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "PA",
            "license": "PO000261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Sobilo, MD
• Mark Donald Sobnosky, MD
• Keenan Rhys Sobol, MD
• Steven Sobol, MD
• Jennifer Lynn Sobonski, LOM
• Sobriety Now LLC.
• Sobriety Through Out Patient Inc
• Sobriety Through Out Patient Inc
• Sobriety Through Out Patient Inc
• Sobriety Through Out Patient, Inc.

• Prosthetist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Prosthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.