Obosa Medical Services,PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

193487 Issued in NY

Legal business name

OBOSA MEDICAL SERVICES,PC

Practice address

140 Stevens Ave
Mount Vernon, NY 10550-2515

Phone

(914) 530-2323

Fax

(914) 530-2320

NPI assigned

Apr 26, 2012

Last updated

Apr 26, 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. Francis O Agbonkpolo, M.DNPI 1467555458

Title

Owner

Phone

(914) 530-2323

Specialties & licenses 1

Addresses

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.

• Francis O. Agbonkpolo, M.D.

  • Internal Medicine Physician
  • Mount Vernon, NY
  • NPI 1467555458
  Authorized official Same address or phone

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1659639730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GOLDEN RD",
            "city": "MONTEBELLO",
            "state": "NY",
            "postal_code": "109013220",
            "telephone_number": "914-530-2323",
            "fax_number": "914-530-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STEVENS AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502515",
            "telephone_number": "914-530-2323",
            "fax_number": "914-530-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBOSA MEDICAL SERVICES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "AGBONKPOLO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-530-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "193487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen O'Gilvie -Walk, RN
• Joanne Oates
• Charlene A. Obeng, OTR/L
• Hagar Oboh
• Obosa Medical Care, P.L.L.C.
• Obrien Dennis Initiative
• Ifeoma Erica Obumneme-Akaneme
• Andrea Ochoa, RN
• Tomilola Wilson Odumuwagun, PA-C
• Mitchell Alan Offner, M.D.

• Interventional Pain Medicine Physician in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.