Organization Active NPI

Adedeji Associates PLLC

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1740708957
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q0719 Issued in TX
Legal business name
ADEDEJI ASSOCIATES PLLC
Practice address
11212 State Highway 151
Ste 200 Medical Plaza 1
San Antonio, TX 78251-4504
Phone
(210) 339-2293
Fax
(844) 427-8169
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Adebukola A Adedeji, MD
Title
Business Owner
Phone
(210) 339-2293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Q0719 TX Primary

Addresses

Primary practice location

11212 State Highway 151
Ste 200 Medical Plaza 1
San Antonio, TX 78251-4504

Mailing address

11212 State Hwy 151
Suite 200 Medical Plaza 1
San Antonio, TX 78251
Phone (210) 339-2293

Other practice location 1

11212 State Highway 151
Ste 200 Medical Plaza 1
San Antonio, TX 78251-4504
Phone (210) 339-2293

National Provider Directory

National Provider Directory

Locations

9730 Westover Hills Blvd
Ste 105
San Antonio, TX 78251
Phone (210) 520-7160

11212 State Highway 151
Ste 220
San Antonio, TX 78251
Phone (210) 509-7462

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740708957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 STATE HWY 151",
            "address_2": "SUITE 200 MEDICAL PLAZA 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-339-2293",
            "fax_number": "844-427-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "address_2": "STE 200 MEDICAL PLAZA 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514504",
            "telephone_number": "210-339-2293",
            "fax_number": "844-427-8169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11212 State Highway 151",
            "address_2": "STE 200 MEDICAL PLAZA 1",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514504",
            "country_code": "US",
            "telephone_number": "210-339-2293",
            "fax_number": "844-427-8169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADEDEJI ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ADEDEJI",
        "authorized_official_first_name": "ADEBUKOLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "210-339-2293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q0719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.