PETER N AGOMUO (NPI# 1245236413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245236413 |
| Entity Type | Individual |
| Full Name | PETER N AGOMUO |
| Credential | M.D |
| Practice Address |
2810 Ambassador Caffery Pkwy Lafayette LA 70506-5906 |
| Mailing Address |
Po Box 12553 Beaumont TX 77726-2553 |
| Practice Telephone | 4094663626 |
| Practice Fax Number | 3379896732 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
K9206 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2810 AMBASSADOR CAFFERY PKWY |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124636683 | Lauren Butcher | Nurse Practitioner | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2020-07-21 |
| 1750999157 | Beauvais Health, LLC | Rehabilitation Unit | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2020-07-21 |
| 1154845808 | Collins T Kgoadi | Emergency Medicine | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2017-08-02 |
| 1992140701 | Degeyter and Rossitter Medical Research and Development LLC | Internal Medicine | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2013-05-07 |
| 1174898845 | Rmca Professionals Mgmt, LLC | Internal Medicine | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2012-03-14 |
| 1376869008 | Tracy Nicole Thibodeaux | Speech-Language Pathologist | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2010-04-20 |
| 1831422187 | Tommie Jude Hebert | Nurse Practitioner | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2009-09-17 |
| 1053540187 | Brandon Wayne Vidrine | Nurse Practitioner | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2009-07-10 |
| 1467686220 | Audrey Hopkins Davis | Occupational Therapist | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2009-05-08 |
| 1740414614 | Kelly Ann Malloy | Occupational Therapy Assistant | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2009-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295448 | Hassan Sawaf | Radiology | 1411 S Creasy Ln Ste 130, Lafayette, IN 47905-7433 | 2020-01-30 |
| 1801383245 | St Marys Imaging Center II | Radiology | 4809 Ambassador Caffery Pkwy Ste 350, Lafayette, LA 70508-8801 | 2018-04-20 |
| 1578937744 | Modesto Radiological Medical Group | Radiology | 2283 Hidden Pond Ln, Lafayette, CA 94549-1742 | 2015-11-25 |
| 1629411210 | Lowell David Froker | Radiology | 32 Olympic Oaks Dr, Lafayette, CA 94549-4800 | 2013-04-12 |
| 1386987196 | Imaging Partners Medical Group | Radiology | 3976 Canyon Rd, Lafayette, CA 94549-2702 | 2013-03-29 |
| 1982946562 | Rachael Lane Guillory | Radiology | 1811 Dulles Dr, Lafayette, LA 70506-3724 | 2013-03-21 |
| 1578811386 | Maurice Louis Bercier | Radiology | 309 Steiner Road, Lafayette, LA 70508 | 2012-08-28 |
| 1295024222 | Lourdes Imaging Center LLC | Radiology | 4809 Ambassador Caffery Parkway, Suite 350, Lafayette, LA 70508 | 2011-03-30 |
| 1467784744 | Delano Zeus Arvin | Radiology | 6233 N 700 E, Lafayette, IN 47905-9761 | 2010-02-11 |
| 1003045287 | Professional Radiology Network Tlc-prn, LLC | Radiology | 107 Kempton Dr, Lafayette, LA 70508-6547 | 2009-07-08 |
| Find all providers in LAFAYETTE | ||||
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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.