MS. IYUNOLUWA AGBOOLA


Address: 302 W Rector St, San Antonio, TX 78216-5718
Phone: 2103580800

MS. IYUNOLUWA AGBOOLA (NPI# 1659710044) 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) 1659710044
Entity Type Individual
Full Name MS. IYUNOLUWA AGBOOLA
Credential M.D
Practice Address 302 W Rector St
San Antonio
TX 78216-5718
Mailing Address 5215 Centre Ave
Upmc Shadyside Family Health Center
Pittsburgh
PA 15232-1303
Practice Telephone 2103580800
Practice Fax Number 2103580850
Enumeration Date 2013-06-18
Last Update Date 2019-05-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MT203859 PA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
5215 Centre Ave, Upmc Shadyside Family Health Center, Pittsburgh, PA 152321303 4126232817

Office Location

Street Address 302 W RECTOR ST
City SAN ANTONIO
State TX
Zip Code 78216-5718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386613024 Francisco Ayala Family Medicine 302 W Rector St, San Antonio, TX 78216-5718 2006-03-15
1922582204 Nicole Farrell Pharmacist 302 W Rector St, San Antonio, TX 78216-5718 2018-09-21
1174050264 Victoria Remilekun Fadare Nurse Practitioner 302 W Rector St, San Antonio, TX 78216-5718 2017-05-19
1205285210 Vera Sarkodie Pediatrics 302 W Rector St, San Antonio, TX 78216-5718 2016-06-09
1265896641 Martine Seudeal Family Medicine 302 W Rector St, San Antonio, TX 78216-5718 2016-04-11
1225464688 Denise Warren Registered Nurse 302 W Rector St, San Antonio, TX 78216-5718 2013-09-17
1407198344 Ping Ho Nurse Practitioner 302 W Rector St, San Antonio, TX 78216-5718 2013-03-18
1780931873 Mehrnoosh Zaeri Monjazeb Family Medicine 302 W Rector St, San Antonio, TX 78216-5718 2012-08-08
1477817609 Nabaa Zalzala Family Medicine 302 W Rector St, San Antonio, TX 78216-5718 2012-07-03
1881822179 Anindita Ahmed Family Medicine 302 W Rector St, San Antonio, TX 78216-5718 2009-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376179820 Damiana Lea Mcmahan Speech-Language Pathologist 12 Inter Park Blvd, #105, San Antonio, TX 78216 2020-03-17
1811530967 Hacienda Hospice, Ltd Hospice Care, Community Based 101 W Silver Sands Dr, San Antonio, TX 78216 2019-10-22
1437792876 Eddy Sidra Optometrist 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 2019-10-17
1083256796 Tiffany Michelle Goericke Physical Therapist 502 East Ramsey, San Antonio, TX 78216 2019-10-14
1780246942 Esperanza Eating Disorders Center, Pllc Clinic/Center 403 E. Ramsey, Suite 204, San Antonio, TX 78216 2019-07-08
1568938314 Lyric Lea Lewis Licensed Vocational Nurse 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 2018-10-19
1912488206 Rebecca Anna Poppe Licensed Vocational Nurse 1514 Vista Del Norte, San Antonio, TX 78216 2018-08-24
1205338779 Bailee Hannah Mokry Behavioral Analyst 11306 Sir Winston, San Antonio, TX 78216 2018-03-01
1487155677 Ojer Corbie Behavior Technician 11310 Sir Winston At Bld D, San Antonio, TX 78216 2018-02-23
1366943631 Briana Nicole Rodriguez Behavior Technician 14235 Blanco Road, San Antonio, TX 78216 2018-02-22
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881295327 Courtney L Buchmeier Family Medicine 16620 San Pedro Ave, San Antonio, TX 78232-2327 2020-11-02
1255938866 Bart Knight Family Medicine 106 Herweck Dr, San Antonio, TX 78213-3329 2020-10-06
1114530565 Jacob C Reedy Family Medicine 525 Richmond Ave, San Antonio, TX 78215-2008 2020-08-26
1750992277 Premier Tests LLC Family Medicine 410 E Wildwood, San Antonio, TX 78212-1758 2020-08-10
1770104457 Bryanna Bermea Cantu Family Medicine 2318 San Pedro Ave Ste 12, San Antonio, TX 78212-1901 2020-05-04
1447886544 Lets Look At Your Labs LLC Family Medicine 1603 Babcock Rd Ste 238-5, San Antonio, TX 78229-4708 2020-03-20
1609414937 Lonestar Visiting Physicians LLC Family Medicine 406 Halliday Ave, San Antonio, TX 78210-4057 2019-12-17
1679126817 Sarah Heather Martinez Family Medicine 15106 Oak Loft St, San Antonio, TX 78232-4617 2019-07-17
1659930634 Villa Family Clinic, PC Family Medicine 2000 Se Loop 410 Ste 127a, San Antonio, TX 78220-4933 2019-06-12
1508327859 South Texas Family Medicine and Urgent Care Center Family Medicine 3526 Galveston Trl, San Antonio, TX 78253-6219 2019-03-28
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Competitor

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City SAN ANTONIO
Zip Code 78216

Improve Information

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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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