I & L Professional Medical Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301075373 Issued in MI

Legal business name

I & L PROFESSIONAL MEDICAL SERVICES

Practice address

15357 Farmington Rd
Suite 2
Livonia, MI 48154-2847

Phone

(734) 266-3565

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Innocent E. Agbassi, MDNPI 1922053636

Title

President

Phone

(313) 282-4527

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• I&L Medical Group & Associates

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1457527582
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Innocent Egwuatu Agbassi, M.D.

  • Adult Medicine Physician
  • Livonia, MI
  • NPI 1922053636

  MI

  Medicare reassignment Authorized official
• Lawanda Hicks Agbassi, NP

  • Family Nurse Practitioner
  • Livonia, MI
  • NPI 1083638993

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1760409593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15357 FARMINGTON RD",
            "address_2": "SUITE 2",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15357 FARMINGTON RD",
            "address_2": "SUITE 2",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542847",
            "telephone_number": "734-266-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I & L PROFESSIONAL MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "AGBASSI",
        "authorized_official_first_name": "INNOCENT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-282-4527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301075373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barbara J Hyland-Taylor, P.T.
• Hypertension Nephrology Associates PC
• Jiwoong Hyun, PA-C
• I Pharmacy 2 LLC
• Taylor Iacovacci
• Gail Ian, CRNA
• Amy Iaquinta-Wilkerson, PA-C
• Francesco S Iaquinta Jr.

• All providers in Livonia, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.