C.Funsho Fagbohun,MD,PHD PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

K3176 Issued in TX

Legal business name

C.FUNSHO FAGBOHUN,MD,PHD PA

Practice address

1601 Liberty St Ste a
Richmond, TX 77469-3252

Phone

(281) 342-6962

Fax

(281) 342-6963

NPI assigned

Aug 31, 2009

Last updated

Mar 19, 2015By 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. C Funsho Fagbohun, M.D., PH.D

Title

Owner

Phone

(281) 342-6962

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Practitioners 6

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.

• C Funsho Fagbohun, M.D., PH.D.

  • Obstetrics & Gynecology Physician
  • Richmond, TX
  • NPI 1629016415
  Medicare reassignment NPD
• Chunhua Lu

  • Obstetrics & Gynecology Physician
  • Richmond, TX
  • NPI 1497173199
  Medicare reassignment NPD
• Kaitlin McGrath, CNM

  • Advanced Practice Midwife
  • Houston, TX
  • NPI 1730909003
  Medicare reassignment NPD
• Sefali Patel, FNP

  • Family Nurse Practitioner
  • Richmond, TX
  • NPI 1699321299
  Medicare reassignment NPD
• Ememobong Offiong Ubom, MD

  • Obstetrics & Gynecology Physician
  • Richmond, TX
  • NPI 1104355999
  Medicare reassignment NPD
• Mercedes Taylor, PA

  • Medical Physician Assistant
  • Houston, TX
  • NPI 1750975348
  Medicare reassignment

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1932332426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 LIBERTY ST STE A",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693252",
            "telephone_number": "281-342-6962",
            "fax_number": "281-342-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LIBERTY ST STE A",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693252",
            "telephone_number": "281-342-6962",
            "fax_number": "281-342-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.FUNSHO FAGBOHUN,MD,PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "FAGBOHUN",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "FUNSHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-342-6962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K3176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Courtney Allison Caesar, R.D., L.D.
• Cala Clinic LLC (Cala Group)
• Amanda Medina Calimbas, PT, DPT, CAS

• Obstetrics & Gynecology Physician in Richmond, TX
• Providers in Richmond, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.