Agewell Alliance

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

AGEWELL ALLIANCE

Practice address

9520 Berger Rd
Suite 212
Columbia, MD 21046-1501

Phone

(443) 520-0563

NPI assigned

Mar 7, 2012

Last updated

Mar 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adebimpe Obadare, PHARMD

Title

President

Phone

(443) 520-0563

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1508130618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 BERGER RD",
            "address_2": "SUITE 212",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 BERGER RD",
            "address_2": "SUITE 212",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461501",
            "telephone_number": "443-520-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGEWELL ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "OBADARE",
        "authorized_official_first_name": "ADEBIMPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-520-0563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bong Agboli, LCMFT
• Irys Ako Agbortabi, CRNA
• Agnes Ashu Agbortarh
• Cecily Marie L. Agcaoili, MD
• Age Right Care LLC
• Saavitri Aggarwal, LGP18232
• Fizza Agha
• Jillian Agnew, RN
• Sulekha Agrawal, DMD
• Vikrant R Agrawal, MD

• Specialist in Columbia, MD
• Providers in Columbia, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.