Abimbola M. Banjo MD P.a

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ABIMBOLA M. BANJO MD P.A

Doing business as

Cornerstone Medical Center

Practice address

130 S Water St
Pleasanton, TX 78064-4044

Phone

(830) 569-2440

Fax

(830) 218-4300

NPI assigned

Jun 25, 2019

Last updated

Jun 25, 2019By 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. Abimbola Michael Banjo, MDNPI 1023172061

Title

M D

Phone

(210) 416-7012

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abimbola Michael Banjo, M.D.,

  • Internal Medicine Physician
  • Pleasanton, TX
  • NPI 1023172061
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1538720149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780640146",
            "telephone_number": "830-569-2440",
            "fax_number": "830-281-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S WATER ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644044",
            "telephone_number": "830-569-2440",
            "fax_number": "830-218-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIMBOLA M. BANJO MD P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "BANJO",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "M D",
        "authorized_official_telephone_number": "210-416-7012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A P Surgical Associates PA
• Oluwamayokun Emmanuel Adeyemi
• Adrian M. Polit MD PA
• Andikan Akpaffiong
• Michelle Allore, NP
• Vanessa Anger, LPC-S

• Primary Care Clinic/Center in Pleasanton, TX
• Providers in Pleasanton, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.