Eniola O Fagbongbe (NPI# 1790737807, PAC ID# 9739130972) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1790737807 |
| PAC ID by PECOS | 9739130972 |
| Professional Enrollment ID | I20050204000780 |
| Full Name | Eniola O Fagbongbe |
| Organization Legal Name | SHERLING EMERGENCY PHYSICIANS LLC |
| Address |
29 L V Stabler Dr Greenville AL 36037-3850 |
| Phone Number | 3343822671 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 2062679335 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010091 | GROVE HILL MEMORIAL HOSPITAL |
| 010113 | MOBILE INFIRMARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 29 L V Stabler Dr, Greenville, AL 36037-3850 | 3343822671 | SHERLING EMERGENCY PHYSICIANS LLC |
| 295 B S Jackson St, Grove Hill, AL 36451-3231 | 2512753173 | GROVE HILL MEMORIAL HOSPITAL, INC |
| Organization Legal Name | SHERLING EMERGENCY PHYSICIANS LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Decaro | Emergency Medicine | Sherling Emergency Physicians LLC | 29 L V Stabler Dr, Greenville, AL 36037-3850 |
| Rick M Weber | Emergency Medicine | Sherling Emergency Physicians LLC | 29 L V Stabler Dr, Greenville, AL 36037-3850 |
| David Edward Porterfield | Emergency Medicine | Sherling Emergency Physicians LLC | 29 L V Stabler Dr, Greenville, AL 36037-3850 |
| Krishnaveni Manku | Family Medicine | Sherling Emergency Physicians LLC | 29 L V Stabler Dr, Greenville, AL 36037-3850 |
| Street Address |
29 L V STABLER DR |
| City | GREENVILLE |
| State | AL |
| Zip | 36037-3850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George H Wakefield Iii | Diagnostic Radiology | Radiology Group, P.a. | 29 L V Stabler Dr, Greenville, AL 36037-3850 |
| Thomas J Decaro | Emergency Medicine | Sherling Emergency Physicians LLC | 29 L V Stabler Dr, Greenville, AL 36037-3850 |
| Gary W Scott | Diagnostic Radiology | Radiology Group, P.a. | 29 L V Stabler Dr, Greenville, AL 36037-3850 |
| Rick M Weber | Emergency Medicine | Sherling Emergency Physicians LLC | 29 L V Stabler Dr, Greenville, AL 36037-3850 |
| Lakshmikantha Kumbla | Psychiatry | The Health Care Authority of The City of Greenville - Lv Stabler Hospi | 29 L V Stabler Dr, Greenville, AL 36037-3850 |
| Robert L Hutto | Diagnostic Radiology | Radiology Group, P.a. | 29 L V Stabler Dr, Greenville, AL 36037-3850 |
| David Edward Porterfield | Emergency Medicine | Sherling Emergency Physicians LLC | 29 L V Stabler Dr, Greenville, AL 36037-3850 |
| Krishnaveni Manku | Family Medicine | Sherling Emergency Physicians LLC | 29 L V Stabler Dr, Greenville, AL 36037-3850 |
| Amelia J Whiddon | Certified Registered Nurse Anesthetist (crna) | The Health Care Authority of The City of Greenville - Lv Stabler Hospi | 29 L V Stabler Dr, Greenville, AL 36037-3850 |
| Jeffrey D Adams | Diagnostic Radiology | Radiology Group, P.a. | 29 L V Stabler Dr, Greenville, AL 36037-3850 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karyn Crystal Swinson | Psychologist, Clinical | Alabama Post-acute Medical Service 1 PC | 408 Country Club Dr, Greenville, AL 36037-1310 |
| Carol A Pope | Chiropractic | 1022 Pineapple Hwy, Greenville, AL 36037-1851 | |
| Jessica Campbell | Nurse Practitioner | Lv Stabler Primary Care LLC | 300 N College St, Greenville, AL 36037-2025 |
| Richard A Giovane | Family Medicine | Lv Stabler Primary Care LLC | 300 N College St, Greenville, AL 36037-2025 |
| Gilbert Holland | Orthopedic Surgery | Lv Stabler Primary Care LLC | 300 N College St, Greenville, AL 36037-2025 |
| Cecelia M Hermann | Family Medicine | Lv Stabler Primary Care LLC | 300 N College St, Greenville, AL 36037-2025 |
| Gary Clayton Harrington | General Surgery | Lv Stabler Primary Care LLC | 300 N College St, Greenville, AL 36037-2025 |
| Gary Meade Richardson | General Practice | Lv Stabler Primary Care LLC | 300 N College St, Greenville, AL 36037-2025 |
| Pamela Ingram | Nurse Practitioner | Lv Stabler Primary Care LLC | 300 N College St, Greenville, AL 36037-2025 |
| Danny T Hood | Hospitalist | Lv Stabler Primary Care LLC | 300 N College St, Greenville, AL 36037-2025 |
| Find all physicians in zip 36037 | |||
| City | GREENVILLE |
| Zip Code | 36037 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | GREENVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Eniola O Fagbongbe.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.