Active NPI
Betty Orieji Agbede, MD MPH
- Family Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME111451
- Practice address
- 5554 Clarcona Ocoee Rd
Orlando, FL 32810 - Phone
- (407) 292-0292
- Fax
- (407) 292-5175
- NPI assigned
- Aug 18, 2006
- Last updated
- Mar 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD040841E | PA | |
| Family Medicine Physician | 207Q00000X | 2010-00664 | NC | |
| Family Medicine Physician | 207Q00000X | ME111451 | FL | Primary |
Addresses
Primary practice location
5554 Clarcona Ocoee Rd
Orlando, FL 32810
Mailing address
PO Box 616788
Orlando, FL 32861-6788
Phone (407) 244-7701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011697570004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010-00664 | NC | MD | Family Medicine Physician |
| MD040841E | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care (FL) Inc. | Family Medicine | Current | Accepting new patients |
| Buckhead Express Clinic PC | Family Medicine | Past | Accepting new patients |
| Fayetteville Medical Clinic, PC | Past | Accepting new patients |
Locations
4300 Clarcona Ocoee Rd
Ste 407
Orlando, FL 32810
Phone (321) 292-0292
5554 Clarcona Ocoee Rd
Orlando, FL 32810
Phone (407) 292-0292
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CenterWell Senior Primary Care of Rosemont
- Internal Medicine Physician
- Orlando, FL
- NPI 1184669418
Family Medicine
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1255661302
-
- Internal Medicine Physician
- Fayetteville, NC
- NPI 1285873018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1881708691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 616788",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328616788",
"telephone_number": "407-244-7701",
"fax_number": "407-770-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5554 CLARCONA OCOEE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32810",
"telephone_number": "407-292-0292",
"fax_number": "407-292-5175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGBEDE",
"first_name": "BETTY",
"middle_name": "ORIEJI",
"name_prefix": "Dr.",
"credential": "MD MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD040841E",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2010-00664",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME111451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011697570004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.