DR. GABRIEL AGBANYIM (NPI# 1386938058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386938058 |
| Entity Type | Individual |
| Full Name | DR. GABRIEL AGBANYIM |
| Credential | M.D. |
| Practice Address |
1110 Annapolis Rd Odenton MD 21113-1602 |
| Mailing Address |
Po Box 759047 Baltimore MD 21275-9047 |
| Practice Telephone | 4433513917 |
| Practice Fax Number | 4433513918 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2016-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0076254 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
1110 ANNAPOLIS RD |
| City | ODENTON |
| State | MD |
| Zip Code | 21113-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942284401 | William Stanley Sykora | Family Medicine | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2005-11-30 |
| 1871090985 | Kayla M Jones | Physician Assistant | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2018-04-06 |
| 1174053474 | Rohini Manda | Family Medicine | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2017-06-19 |
| 1285005389 | Susan Arnold | Physician Assistant | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2015-10-14 |
| 1962887901 | Calla Zelazny | Physician Assistant | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2015-07-20 |
| 1427485515 | Lilit Vardanyan | Physician Assistant | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2013-10-03 |
| 1801238902 | Cara Elizabeth Arcidiacono | Physician Assistant | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2013-07-18 |
| 1003251158 | Jean Masoso | Family Medicine | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2013-05-02 |
| 1598108318 | Philip Laurence Mussenden Jr. | Family Medicine | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2013-04-10 |
| 1689937732 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 1110 Annapolis Rd, Odenton, MD 21113 | 2012-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938599 | Dmv Community Health Services LLC | Clinic/Center | 87778 Pine Orchard Parkway, Odenton, MD 21113 | 2018-07-11 |
| 1285125997 | Edward Lashawn Harvey | Specialist | 207 Ammunition Ave, Odenton, MD 21113 | 2018-05-29 |
| 1275041394 | Aimee Kathleen Olivera Sanchez | Social Worker | 2150 Colonel Way, Odenton, MD 21113 | 2018-01-11 |
| 1891214714 | Bincy Kuttiplackal Mathai | Dentist | 1135 Annapolis Road, Odenton, MD 21113 | 2017-09-12 |
| 1730601949 | Amanda Mary Jackiewicz | Physician Assistant | Greater Maryland Pain Management, 1130 Annapolis Rd Suite 100, Odenton, MD 21113 | 2017-07-10 |
| 1346771235 | Pattrena Reid | Respiratory Therapist, Registered | 115 Bragg Blvd, Odenton, MD 21113 | 2017-03-23 |
| 1225572233 | Pamela Denise Ponder | Internal Medicine | 2603 Portola Court, Odenton, MD 21113 | 2016-12-09 |
| 1285052803 | Diana Nicole Spell | Internal Medicine | Johns Hopkins Community Physicians - Odenton, 1106 Annapolis Road, Odenton, MD 21113 | 2014-04-01 |
| 1730431321 | Orthopedic Physicians of Annapolis LLC | Prosthetic/Orthotic Supplier | 1106 Annapolis Road, Suite 130, Odenton, MD 21113 | 2012-10-08 |
| 1275869463 | Olubukola Fakunle | Pharmacist | 2294 Blue Water Blvd, Weis Pharmacy, Odenton, MD 21113 | 2009-10-23 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285020867 | Kolapo Idowu | Family Medicine | 1132 Annapolis Rd # 310, Odenton, MD 21113-1647 | 2015-04-10 |
| 1235319443 | Roxane Ilka Hilton Clarke | Family Medicine | 1177 Annapolis Rd, #25, Odenton, MD 21113-7500 | 2007-11-06 |
| 1376731034 | Karen S. Clarke-bennett | Family Medicine | 1114 Town Center Blvd, Suite G, Odenton, MD 21113 | 2007-10-09 |
| 1477657799 | William L Hunter Jr. | Family Medicine | 1132 Annapolis Road, Odenton, MD 21113 | 2006-09-08 |
| 1427096221 | Patricia Gillen | Family Medicine | 1106 Annapolis Rd, Suite 310, Odenton, MD 21113-1637 | 2006-06-03 |
| 1588648547 | Mary Lynn Hawkins | Family Medicine | 1106 Annapolis Rd Ste 310, Odenton, MD 21113-1744 | 2005-12-02 |
| 1942284401 | William Stanley Sykora | Family Medicine | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2005-11-30 |
| 1689220048 | Good Medicine, PC | Family Medicine | 1370 Odenton Rd, Odenton, MD 21113-1503 | 2019-08-12 |
| 1174053474 | Rohini Manda | Family Medicine | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2017-06-19 |
| 1003251158 | Jean Masoso | Family Medicine | 1110 Annapolis Rd, Odenton, MD 21113-1602 | 2013-05-02 |
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| 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.