AGAPITO FAJARDO (NPI# 1790733855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790733855 |
| Entity Type | Individual |
| Full Name | AGAPITO FAJARDO |
| Credential | MD |
| Practice Address |
906 N Us 421 Hwy Clinton NC 28328-0410 |
| Mailing Address |
906 N Us Highway 421 Clinton NC 28328-0410 |
| Practice Telephone | 9105921462 |
| Practice Fax Number | 9105928401 |
| Mailing Telephone | 9105921462 |
| Mailing Fax Number | 9105928401 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 20719 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
906 N US 421 HWY |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-0410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437192127 | Linda Rita Boggs | Physician Assistant | 906 N Us 421 Hwy, Clinton, NC 28328-0410 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1154561389 | Altmed Medical Center Inc | General Practice | 8700 Old Branch Ave, Clinton, MD 20735-2522 | 2009-02-27 |
| 1316149727 | Martin A Schiefer | General Practice | 100 Cedar Cove Turtle Creek, Clinton, MS 39056-5428 | 2007-06-05 |
| 1851363535 | Vincent S Toussaint | General Practice | 103 Mississippi Drive, Clinton, SC 29325 | 2006-02-06 |
| 1235118837 | Betty A Hibler | General Practice | 1320 Main Ave, Clinton, IA 52732-1923 | 2006-01-11 |
| 1457347379 | Roger E Jones | General Practice | 819 S 3rd St, Clinton, IN 47842-2205 | 2005-09-26 |
| 1073041299 | Russell Wayne Jefferson | General Practice | 501 S 11th St, Clinton, OK 73601-4303 | 2017-06-01 |
| 1710365382 | Mary Annette Pugh Md, Pllc | General Practice | 2500 Highway 65 S, Clinton, AR 72031-6588 | 2015-05-14 |
| 1295133528 | Mgmc, LLC | General Practice | 8926 Woodyard Rd, Suite 602, Clinton, MD 20735-4220 | 2014-12-19 |
| Find all providers in CLINTON | ||||
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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.