Abiodun Osibamowo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K7366 Issued in TX

Practice address

11888 Marsh LN
#104
Dallas, TX 75234-8083

Phone

(972) 488-9222

Fax

(972) 488-0625

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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.

• Primacare Medical Centers

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1104905728
  NPD (past)
• Primamed Physicians PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1164494068
  NPD (past)
• Primamed Physicians PLLC

  • Urgent Care Clinic/Center
  • Plano, TX
  • NPI 1619922549
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1679546972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 GREENVILLE AVE",
            "address_2": "#500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433596",
            "telephone_number": "214-572-1124",
            "fax_number": "214-572-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11888 MARSH LN",
            "address_2": "#104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752348083",
            "telephone_number": "972-488-9222",
            "fax_number": "972-488-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIBAMOWO",
        "first_name": "ABIODUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tosin Oshionebo, APRN
• Alexander Roman Oshmyansky, MD
• Azeez Osho, MD
• Oluwatosin Oshoba
• Oshun Wellness Services, LLC
• Princess Osibodu
• Isaac Osiebo
• Chukwuma Soyinka Osifeso, MD
• Fidelia Osifo-Selormey, CNP
• Adebola Osikoya, PMHNP

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.