Agpoon Medical Clinic, S.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

18704 Issued in WI

Legal business name

AGPOON MEDICAL CLINIC, S.C.

Practice address

1859 E Moreland Blvd
Waukesha, WI 53186-3915

Phone

(262) 544-9680

Fax

(262) 544-1659

NPI assigned

May 18, 2006

Last updated

Aug 22, 2020By 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. Jose S. Agpoon, M.D.

Title

President

Phone

(262) 544-9680

Specialties & licenses 1

Addresses

Locations

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.

• Perla P. Agpoon, M.D.

  • Specialist
  • Waukesha, WI
  • NPI 1730134255
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841243839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 E MORELAND BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531863915",
            "telephone_number": "262-544-9680",
            "fax_number": "262-544-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 E MORELAND BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531863915",
            "telephone_number": "262-544-9680",
            "fax_number": "262-544-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGPOON MEDICAL CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGPOON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-544-9680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WI",
            "license": "18704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Pain Management SC
• Aesthetic and Reconstructive Surgery Associates SC
• Affiliated Dermatologists SC
• Omer Afzal, M.D.
• Ag Perio LLC
• Perla P. Agpoon, M.D.
• Gregorio Aguilar Jr.
• Janine Marie Ahrens, APNP
• Dana Joy Akiya, MD
• Younus Dheyaa Younus Al-Midfai, MD

• Primary Care Clinic/Center in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Primary Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.