Catrell Owens-Agbeibor, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101245987 Issued in VA

Practice address

5249 Olde Towne Rd
Suite D
Williamsburg, VA 23188-8111

Phone

(757) 259-3258

Fax

(757) 220-1953

NPI assigned

Jan 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Catrell Owens-Agbeibor Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Williamsburg Area Medical Assistance Corporation

  • Rural Health Clinic/Center
  • Williamsburg, VA
  • NPI 1639137078
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1366413403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 OLDE TOWNE RD",
            "address_2": "SUITE D",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888111",
            "telephone_number": "757-259-3258",
            "fax_number": "757-220-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 OLDE TOWNE RD",
            "address_2": "SUITE D",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888111",
            "telephone_number": "757-259-3258",
            "fax_number": "757-220-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS-AGBEIBOR",
        "first_name": "CATRELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101245987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100036390A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATRELL",
            "last_name": "OWENS-AGBEIBOR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Osterhoudt, LPTA
• Amanda N Ostroff, PSYD
• Stacie D. Otey-Scott, PSY.D
• Lindsay M Otis, NP
• Outer Banks Anesthesia & Perioperative Care Specialists PLLC
• Christina Owens, CPM, LM
• Edward Arthur Owens, DMD
• Susanna Owens, PHD
• Carrie Fancett Pagels, PH.D.
• Paige Christine LLC

• Family Medicine Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.