Agboola Awomolo (NPI# 1073877262, PAC ID# 7416227129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1073877262 |
| PAC ID by PECOS | 7416227129 |
| Professional Enrollment ID | I20170727002503 |
| Full Name | Agboola Awomolo |
| Organization Legal Name | STEWARD MEDICAL GROUP INC |
| Address |
4115 W Aerie Dr Apt 109 Tucson AZ 85741-2417 |
| Phone Number | 7725893186 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2012 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2860688728 |
| Number of Group Practice Members | 1568 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030013 | YUMA REGIONAL MEDICAL CENTER |
| 030092 | HONORHEALTH DEER VALLEY MEDICAL CENTER |
| 030071 | FORT DEFIANCE INDIAN HOSPITAL |
| 100217 | STEWARD SEBASTIAN RIVER MEDICAL CENTER |
| 031314 | COBRE VALLEY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3042 W Queen Creek Rd, Red Tail Hawk Health Center, Chandler, AZ 85286-0038 | 6025281200 | GILA RIVER HEALTH CARE CORPORATION |
| 975 E 3rd St, Chattanooga, TN 37403-2147 | 4237787234 | TENNESSEE INTERVENTIONAL AND IMAGING ASSOCIATES, PLLC |
| 975 E 3rd St, Box 376, Chattanooga, TN 37403-2147 | 4237787234 | TENNESSEE INTERVENTIONAL AND IMAGING ASSOCIATES, PLLC |
| Corner of Route N12 and N 7, Fort Defiance, AZ 86504-0589 | 9287298256 | THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION |
| 250 N Wickham Rd, Melbourne, FL 32935-8625 | 3217521200 | STEWARD MEDICAL GROUP INC |
| 3990e U S Hwy 64 Alt, Murphy, NC 28906 | 4237787234 | TENNESSEE INTERVENTIONAL AND IMAGING ASSOCIATES, PLLC |
| 19636 N 27th Ave, Suite Ll1, Phoenix, AZ 85027-4022 | 6234456400 | MDIG OF ARIZONA, LLC |
| 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 6235805800 | MDIG OF ARIZONA, LLC |
| 10069 N 107th St, Scottsdale, AZ 85258-6093 | 4809991091 | MDIG OF ARIZONA, LLC |
| 13695 Us Hwy 1, Sebastian, FL 32958-3230 | 7725893186 | STEWARD MEDICAL GROUP INC |
| 3633 W County, Suite 18, Somerton, AZ 85350-8279 | 4809991091 | MDIG OF ARIZONA, LLC |
| 4115 W Aerie Dr, Apt 109, Tucson, AZ 85741-2417 | 7725893186 | STEWARD MEDICAL GROUP INC |
| Organization Legal Name | STEWARD MEDICAL GROUP INC |
| Physicians | 1501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ribhu Tushar Jha | Neurosurgery | Steward Medical Group Inc | 736 Cambridge St Ccp, 8 Neurosurg. Neurology, Brighton, MA 02135-2907 |
| Amber Hicks-thibodeau | Family Medicine | Steward Medical Group Inc | 5170 Belmont Ave, Youngstown, OH 44505-1022 |
| Neal Mahesh Patel | Gastroenterology | Steward Medical Group Inc | 2501 Shenango Valley Fwy, Suite 3, Hermitage, PA 16148-2536 |
| George P Christophi | Gastroenterology | Steward Medical Group Inc | 8075 Spyglass Hill Rd, Suite 101, Melbourne, FL 32940-8281 |
| Darya P. Zakirov | Nurse Practitioner | Steward Medical Group Inc | 100 Industrial Park Rd, Suite 1, Taunton, MA 02780-7396 |
| Cynthia E Rider | Nurse Practitioner | Steward Medical Group Inc | 8005 Bay St, Suite 1, Sebastian, FL 32958-3244 |
| Jeffrey Henry Janco | Nurse Practitioner | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Pamela Ann Johnson | Nurse Practitioner | Steward Medical Group Inc | 119 Longwood Ave, Rockledge, FL 32955-2827 |
| Shailendra Singh | Interventional Cardiology | Steward Medical Group Inc | 1800 Sulllivan Trail, Suite 200, Easton, PA 18040-8493 |
| Asa Paris | Certified Registered Nurse Anesthetist (crna) | Steward Medical Group Inc | 235 N Pearl St, Brockton, MA 02301-1794 |
| Street Address |
4115 W AERIE DR APT 109 |
| City | TUCSON |
| State | AZ |
| Zip | 85741-2417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Briggs | Nurse Practitioner | Arizona Community Physicians PC | 7105 N Lacholla Blvd, Tucson Family Medicine, Tucson, AZ 85741 |
| Amanda S Bacchus Morris | Internal Medicine | Arizona Community Physicians PC | 7105 N Lacholla Blvd, Tucson Family Medicine, Tucson, AZ 85741 |
| Katie L Grund | Family Medicine | Arizona Community Physicians PC | 7105 N Lacholla Blvd, Tucson Family Medicine, Tucson, AZ 85741 |
| Victor J Weaver | Family Medicine | Arizona Community Physicians PC | 7105 N Lacholla Blvd, Tucson Family Medicine, Tucson, AZ 85741 |
| Laura B Valenzuela | Nurse Practitioner | Arizona Community Physicians PC | 7105 N Lacholla Blvd, Tucson Family Medicine, Tucson, AZ 85741 |
| Kristy D Ferguson | Nurse Practitioner | Arizona Community Physicians PC | 7105 N Lacholla Blvd, Tucson Family Medicine, Tucson, AZ 85741 |
| Joanna Lee Evans | Family Medicine | Arizona Community Physicians PC | 7105 N Lacholla Blvd, Tucson Family Medicine, Tucson, AZ 85741 |
| Stephanie Ann Schmid | Nurse Practitioner | Arizona Community Physicians PC | 7105 N Lacholla Blvd, Tucson Family Medicine, Tucson, AZ 85741 |
| Norma Ann Bracamonte | Nurse Practitioner | Arizona Community Physicians PC | 7105 N Lacholla Blvd, Tucson Family Medicine, Tucson, AZ 85741 |
| Jason D Moyle | Chiropractic | 3275 W Ina Rd, Suite 103, Tucson, AZ 85741-2152 | |
| Find all physicians in zip 85741 | |||
| City | TUCSON |
| Zip Code | 85741 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | TUCSON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Agboola Awomolo.
| 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.