MR. ADEKUNLE ADEDAYO ADEDEJI (NPI# 1902086937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902086937 |
Entity Type | Individual |
Full Name | MR. ADEKUNLE ADEDAYO ADEDEJI |
Credential | M.D. |
Practice Address |
1030 N Zaragoza Rd Suite X El Paso TX 79907-1863 |
Mailing Address |
1030 N. Zaragoza Ste. X El Paso TX 79907-1862 |
Practice Telephone | 9158814155 |
Practice Fax Number | 9158814172 |
Mailing Telephone | 9158814155 |
Mailing Fax Number | 9158814172 |
Enumeration Date | 2007-11-07 |
Last Update Date | 2016-01-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | N3416 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | WELLMED MEDICAID | 2100976-03 | 01 |
TX | WELLMED MEDICARE | TXB116628 | 01 |
TX | MEDICARE PTAN | TXB158260 | 01 |
Street Address |
1030 N ZARAGOZA RD SUITE X |
City | EL PASO |
State | TX |
Zip Code | 79907-1863 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043717697 | Anna Niomi Mendez-guzman | Nurse Practitioner | 1030 N Zaragoza Rd, El Paso, TX 79907-1863 | 2018-04-10 |
1851647911 | Kingsway Medical Center Pllc | Family Medicine | 1030 N Zaragoza Rd, Suite X, El Paso, TX 79907-1863 | 2012-07-26 |
1942596754 | Allegrow Pediatric Therapy Center, LLC | Occupational Therapist | 1030 N Zaragoza Rd, Suite Y-1, El Paso, TX 79907-1863 | 2011-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942782537 | Monica Patricia Ogaz | Nurse Practitioner | 615 N Zaragoza Rd Ste 86, El Paso, TX 79907 | 2018-08-30 |
1881078285 | Dominion Medical Services Pllc | Family Medicine | 1030 N. Zaragoza, Suite X, El Paso, TX 79907 | 2015-07-15 |
1144625849 | Dezirae Senclair | Registered Nurse | 316 Granillo, El Paso, TX 79907 | 2014-10-24 |
1124421938 | Sweet Home Adult Day Care LLC | Clinic/Center | 8615 San Juan Lane Building 19, El Paso, TX 79907 | 2014-10-07 |
1689995037 | Texas Senior & Disabled Day Care, L.L.C. | Clinic/Center | 1223 N. Lee Trevino Dr., El Paso, TX 79907 | 2010-06-21 |
1891022323 | Alderete Enterprises LLC | Clinic/Center | 8615 San Juan, Building - 19, El Paso, TX 79907 | 2009-11-04 |
1376707166 | Preferred Adult Day Care Center LLC | Clinic/Center | 8825 North Loop, Suites 118-119, El Paso, TX 79907 | 2008-07-11 |
1154500379 | North Mesa Dental, PC | Dentist | 615 Zargoza Road, Suite 88, El Paso, TX 79907 | 2007-10-25 |
1700816089 | David Lynn Butterfield | Specialist/Technologist | 5932 Quail Ave, El Paso, TX 79907 | 2006-07-03 |
1922080118 | Alfredo Aguayo | Chiropractor | 1030 North Zaragoza, Suite O, El Paso, TX 79907 | 2005-11-15 |
Find all providers in zip 79907 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170627 | Veronica Diane Garcia | Family Medicine | 5316 E Paisano Dr, El Paso, TX 79905-2942 | 2020-09-23 |
1881210599 | Sleep Doctor Pllc | Family Medicine | 840 E Redd Rd Bldg 1a, El Paso, TX 79912-7265 | 2020-06-18 |
1801420104 | San Jose Moscati Medical Home | Family Medicine | 1200 Golden Key Cir Ste 230, El Paso, TX 79925-5834 | 2020-02-25 |
1346882727 | Joseph William Garcia | Family Medicine | 2812 Granite Rock Dr, El Paso, TX 79938-2731 | 2019-10-17 |
1144781709 | Health Management Care Pa | Family Medicine | 9740 Dyer St Ste 111, El Paso, TX 79924-4700 | 2019-03-27 |
1346736444 | Rosa Ivelisse Colon | Family Medicine | 6545 Royal Ridge Dr, El Paso, TX 79912-7439 | 2018-07-02 |
1417450842 | Eq Medical Pa | Family Medicine | 7812 Gateway Blvd E Ste 230, El Paso, TX 79915-1837 | 2018-03-12 |
1841790078 | East El Paso Family Medicine Pa | Family Medicine | 1393 George Dieter Dr Ste D, El Paso, TX 79936-7410 | 2018-02-14 |
1255865879 | Dl Ep Enterprises, Inc | Family Medicine | 1325 Montana Ave, El Paso, TX 79902-5538 | 2017-04-20 |
1336672468 | Ibiye Owei | Family Medicine | 2000b Transmountain Rd Ste B400, El Paso, TX 79911-3600 | 2017-04-05 |
Find all providers in EL PASO |
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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.