DR. OSMUND UGOCHUKWU AGBO


Address: 920 Church St N, Concord, NC 28025
Phone: 3478049172

DR. OSMUND UGOCHUKWU AGBO (NPI# 1275728529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275728529
Entity Type Individual
Full Name DR. OSMUND UGOCHUKWU AGBO
Credential M.D
Practice Address 920 Church St N
Concord
NC 28025
Mailing Address 1073 Sing Sing Rd
Apt. C1
Horseheads
NY 14845-1389
Practice Telephone 3478049172
Mailing Telephone 4694177569
Mailing Fax Number 8779294871
Enumeration Date 2007-09-10
Last Update Date 2018-08-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology N2359 TX Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 45748 KY Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
N2359 TX Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
200701973 NC Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
251622 NY Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
200701973 NC Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
251622 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5921995 05
NC MEDICARE PTAN, INDIVIDUAL FOR CMC-NORTHEAST NCA103A 01

Office Location

Street Address 920 CHURCH ST N
City CONCORD
State NC
Zip Code 28025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386647808 Leanne Smith Nurse Anesthetist, Certified Registered 920 Church St N, Concord, NC 28025-2927 2005-05-30
1104431014 Mrunmayee Manohar Shete Genetic Counselor, MS 920 Church St N, Concord, NC 28025-2927 2020-09-09
1083232144 Sarah Elizabeth Garfinkle Pharmacist 920 Church St N, Concord, NC 28025-2927 2020-07-06
1184248924 Dustin Edwards Physician Assistant 920 Church St N, Concord, NC 28025-2927 2020-06-06
1396372892 Zaki Krishan Faraz Dard Student in an Organized Health Care Education/Training Program 920 Church St N, Concord, NC 28025-2927 2020-03-24
1477185825 Tonda Vanderburg Proulx Nurse Practitioner 920 Church St N, Concord, NC 28025-2927 2020-02-04
1245870724 Caroline A. Miller Nurse Anesthetist, Certified Registered 920 Church St N, Concord, NC 28025-2927 2020-01-13
1316585417 Adam Beam Nurse Anesthetist, Certified Registered 920 Church St N, Concord, NC 28025-2927 2019-12-19
1114565496 Kendal Brianne Mcmakin Nurse Anesthetist, Certified Registered 920 Church St N, Concord, NC 28025-2927 2019-12-17
1962053561 Amanda Huneycutt Helms Nurse Practitioner 920 Church St N, Concord, NC 28025-2927 2019-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053910729 Renewed Mindset Therapeutic Services, Pllc Social Worker 349 Copperfield Blvd Suite L #334, Concord, NC 28025 2020-10-22
1194284380 Carolinas Physicians Network Inc Internal Medicine 610 Alfred Brown Jr. Court, Concord, NC 28025 2019-03-18
1164913596 Damarius Raymond Faggart Counselor 503 Amhurst Drive, Concord, NC 28025 2018-05-22
1437677085 Kathryn Emily Kanauer Counselor 280 Executive Park Dr Ne, Concord, NC 28025 2017-09-05
1649794439 Foster Health & Homecare, LLC Home Health 363 Church Street North, Suite 260-i, Concord, NC 28025 2017-08-02
1326569336 Jessie Leigh Tilley-compton Social Worker 371 Amhurst St Sw, Concord, NC 28025 2017-06-29
1609305663 Sarah Katherine Thompson Licensed Practical Nurse 248 Executive Park Dr, Concord, NC 28025 2017-06-05
1023463098 Kiera Brown Social Worker 219 Lephillip Court, Concord, NC 28025 2016-04-27
1992169445 Brittiny N. Ingram Vanterpool Counselor 250 Branchview Dr Sw, Concord, NC 28025 2016-04-11
1215399852 The Charlotte-mecklenburg Hospital Authority Clinic/Center 840 Warren C. Coleman Blvd, Concord, NC 28025 2016-03-23
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235547084 Mass Lung & Allergy PC Internal Medicine 131 Old Rd To 9 Corner, Suite 410, Concord, MA 01742 2014-07-24
1497716989 Cmc-northeast, Inc. Internal Medicine 219 Le Phillip Ct Ne, Northeast Lung Associates, Concord, NC 28025-2900 2006-04-01
1750718243 The Charlotte-mecklenburg Hospital Authority Internal Medicine 1090 Ne Gateway Ct Ne, Ste 201, Concord, NC 28025-2414 2013-09-30
1144589375 Catherine A. Stadler Internal Medicine 246 Pleasant Street Memorial Building, West, Ground Flo, Concord, NH 03301-2588 2012-05-08
1730404997 Amanda White Internal Medicine 1090 Ne Gateway Ct Ne, Ste 201, Concord, NC 28025-2414 2010-03-31
1639335169 Chau Taylor Internal Medicine 1090 Ne Gateway Ct Ne, Ste 201, Concord, NC 28025-2414 2008-08-04
1316107337 Jorge A Salazar-suero Md, Inc Internal Medicine 2211 East St, Concord, CA 94520-2013 2008-06-12
1750577946 Julie Plante Internal Medicine 248 Pleasant St, Suite G100, Concord, NH 03301-2588 2007-09-20
1881809994 Iyad Asaad Internal Medicine 1090 Ne Gateway Ct Ne, Ste 201, Concord, NC 28025-2414 2007-05-11
1598886749 Thomas S Johnson Internal Medicine Damonmill Square, Suite 6a, Concord, MA 01742 2007-04-03
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Competitor

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City CONCORD
Zip Code 28025

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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