DR. OLABUNMI A. AGBOOLA (NPI# 1861719023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861719023 |
| Entity Type | Individual |
| Full Name | DR. OLABUNMI A. AGBOOLA |
| Credential | M.D. |
| Practice Address |
100 Hospital Rd Prince Frederick MD 20678-4017 |
| Mailing Address |
2608 Erwin Rd # 148-268 Durham NC 27705-4596 |
| Practice Telephone | 4105354000 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | D87384 | MD | Allopathic & Osteopathic Physicians |
| N | 207K00000X | Allergy & Immunology | 2014-00817 | NC | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | D87384 | MD | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 2014-00817 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Trent Dr, Durham, NC 277103037 | 9196683351 | |
| 3801 N Fairfax Blvd, Suite 31, Arlington, VA 22201 | 5712295081 | 5719702442 |
| Street Address |
100 HOSPITAL RD |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162489 | Paul Ejime Iweriebor | Nurse Practitioner | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2020-04-08 |
| 1235765629 | Elias Ngang Warah | Nurse Anesthetist, Certified Registered | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2020-03-17 |
| 1780221663 | Elizabeth Anne Wall | Physical Therapist | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2019-12-10 |
| 1790248649 | Nastassia Morgan Hawkins | Nurse Anesthetist, Certified Registered | 100 Hospital Rd, Department of Anesthesia, Prince Frederick, MD 20678-4017 | 2019-04-08 |
| 1902384258 | Upeksha Sewwandi Thilakawardana | Nurse Practitioner | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2018-07-30 |
| 1003311002 | Luis Antonio Velazquez | Nurse Anesthetist, Certified Registered | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2018-03-29 |
| 1598276826 | Stephanie Steinhoff | Hospitalist | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2017-10-13 |
| 1689190514 | Catina Stefanik | Social Worker | 100 Hospital Rd, Prince Frederick, MD 20678 | 2017-08-22 |
| 1740730274 | Calvert Pathology LLC | Pathology | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2016-10-07 |
| 1881040764 | Natasha Bates | Registered Nurse | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2016-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830021 | Allergy and Asthma Clinic of Maryland | Allergy & Immunology | 8630 Fenton St Ste 522, Silver Spring, MD 20910-3829 | 2020-01-17 |
| 1235782665 | Pradeep Simlote Md PC | Allergy & Immunology | 41680 Miss Bessie Dr Ste 203, Leonardtown, MD 20650-2964 | 2019-07-24 |
| 1740783539 | Esno Health Group, LLC | Allergy & Immunology | 6908 Sandy Creek Ct, Clarksville, MD 21029-1747 | 2018-03-17 |
| 1093265878 | Maryland Partnership for Prevention Inc | Allergy & Immunology | 7467 New Ridge Road, Suite 130, Hanover, MD 21076 | 2016-10-05 |
| 1013466721 | Multi-state Partnership for Prevention | Allergy & Immunology | 312 Willow Oak Cir, Pikesville, MD 21208-6366 | 2016-09-23 |
| 1033514781 | Anacostia Multispecialty Partners | Allergy & Immunology | 8500 Annapolis Rd Ste 100, New Carrollton, MD 20784-3021 | 2014-10-23 |
| 1346659000 | Kirk Druey | Allergy & Immunology | 1607 Buckeystown Pike, Adamstown, MD 21710-8714 | 2014-08-07 |
| 1467893073 | Lauren Virginia Wood | Allergy & Immunology | 10 Center Drive Msc 1578, Building 10 Room 4a22, Bethesda, MD 20892-1578 | 2013-07-11 |
| 1861836496 | Nora Kabil | Allergy & Immunology | 13900 Laurel Lakes Ave Ste 210, Laurel, MD 20707-5071 | 2013-04-25 |
| 1902148307 | Scott Koenig | Allergy & Immunology | 9640 Medical Center Dr, Rockville, MD 20850-3368 | 2013-03-23 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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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.