SERGIO AGNI ULLOA (NPI# 1912187626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912187626 |
| Entity Type | Individual |
| Full Name | SERGIO AGNI ULLOA |
| Credential | D.O. |
| Practice Address |
75 Hospital Dr Ste 140 Athens OH 45701-2858 |
| Mailing Address |
5450 Frantz Rd Ste 360 Dublin OH 43016-4141 |
| Practice Telephone | 7405664720 |
| Practice Fax Number | 7405664721 |
| Mailing Telephone | 6145446155 |
| Mailing Fax Number | 6145446370 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2019-12-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 34.009633 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
75 HOSPITAL DR STE 140 |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518954387 | Mark Eric Knable | Orthopaedic Surgery | 75 Hospital Dr Ste 140, Athens, OH 45701-2858 | 2005-10-05 |
| 1144595661 | Victoria M Steen | Physician Assistant | 75 Hospital Dr Ste 140, Athens, OH 45701-2858 | 2012-03-16 |
| 1063705879 | Frederick E Soliman | Family Medicine | 75 Hospital Dr Ste 140, Athens, OH 45701-2858 | 2011-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776685 | Ortholonestar, Pllc | Orthopaedic Surgery | 708 E Corsicana St, Athens, TX 75751-2627 | 2020-10-02 |
| 1134736796 | Ortholonestar, Pllc | Orthopaedic Surgery | 6444 State Highway 19 S, Athens, TX 75751-8968 | 2020-09-28 |
| 1437588050 | First Settlement Orthopaedics Inc | Orthopaedic Surgery | 932 East State St, Suite 102, Athens, OH 45701-2116 | 2013-11-04 |
| 1649512039 | Jonathan Howard Payne | Orthopaedic Surgery | 1500 Ogelthorpe Avenue Suite 500b, Athens, GA 30606 | 2013-03-23 |
| 1821254095 | Jason Allan Reed | Orthopaedic Surgery | 20 University Estates Blvd, Suite 100, Athens, OH 45701-2838 | 2008-08-06 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1093882250 | David R Robins Sr. | Orthopaedic Surgery | 627 Congress Pkwy S, Athens, TN 37303-2259 | 2006-11-30 |
| 1063504769 | William John Drury | Orthopaedic Surgery | 1720 Wood Creek Circle, Athens, TN 37303 | 2006-09-29 |
| 1811929557 | William David Lawrence | Orthopaedic Surgery | 15243 Greenfield Dr, Suite A, Athens, AL 35613-2899 | 2006-07-06 |
| 1518948835 | Ormonde M Mahoney | Orthopaedic Surgery | 1765 Old West Broad St, Athens, GA 30606-2853 | 2005-11-14 |
| Find all providers in ATHENS | ||||
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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.