Agape Internal Medicine, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

N4369 Issued in TX

Legal business name

AGAPE INTERNAL MEDICINE, PC

Practice address

6080 S Hulen St
Ste 360 PMB 229
Fort Worth, TX 76132-2622

Phone

(864) 426-2932

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. John Daramola, M.DNPI 1013995810

Title

Director

Phone

(864) 426-2932

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Bamidele Daramola, MD

  • Internal Medicine Physician
  • Cleburne, TX
  • NPI 1013995810
  Medicare reassignment Care Compare group NPD Authorized official
• Olubusola Temidayo Daramola

  • Family Nurse Practitioner
  • Cleburne, TX
  • NPI 1871842161
  Medicare reassignment Care Compare group NPD
• Blessing Cordilia Egede

  • Psychiatric/Mental Health Nurse Practitioner
  • Duncanville, TX
  • NPI 1245874676
  Medicare reassignment NPD
• Krzysztof K Brozynski, MD

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1598759805
  NPD (past)

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370131200000",
    "number": "1376896845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 S HULEN ST",
            "address_2": "STE 360 PMB 229",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761322622",
            "telephone_number": "864-426-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 S HULEN ST",
            "address_2": "STE 360 PMB 229",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761322622",
            "telephone_number": "864-426-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2013-06-02",
        "status": "A",
        "authorized_official_last_name": "DARAMOLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "864-426-2932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "N4369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Folakemi Afolabi, PA-C
• Oladapo O Afolabi, MD
• Tolulope Ibironke Afolabi
• Crystal Afunugo, FNP-C
• Agape Home Care, Inc
• Agateno Technologies, LLC
• Oluwayemisi O Agboola, FNP
• Sunday Abiodun Agboola, M.D
• Oreva Agbuduta
• Ageless Living Home Health LLC

• Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.