WUANIKA BROOMFIELD MATLOCK


Address: 3212 Fairwood Ave, Columbus, OH 43207-3252
Phone: 6143297998

WUANIKA BROOMFIELD MATLOCK (NPI# 1174939375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174939375
Entity Type Individual
Full Name WUANIKA BROOMFIELD MATLOCK
Practice Address 3212 Fairwood Ave
Columbus
OH 43207-3252
Practice Telephone 6143297998
Mailing Telephone 6143297998
Enumeration Date 2014-07-08
Last Update Date 2014-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 401152351010 OH Other Service Providers

Office Location

Street Address 3212 FAIRWOOD AVE
City COLUMBUS
State OH
Zip Code 43207-3252

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972919173 Jenise Slater Specialist 3212 Fairwood Ave, Columbus, OH 43207-3252 2014-07-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366947913 Mary Elise Hanks Internal Medicine Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 2018-03-27
1699279323 Timothy Ming-li Pian Internal Medicine Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 2018-03-19
1093245763 Royce Scott Home Health 254 E. Barthman Ave, Columbus, OH 43207 2017-06-15
1497207930 Vernon C Murphy Jr. Counselor 1430 S High St Suite 112, Columbus, OH 43207 2016-11-01
1669825931 Ayamba Roselyn Tanyi Social Worker 1791 Alum Creek Drive, Columbus, OH 43207 2016-07-21
1629421268 Tiffany Dawn Hinkle Counselor 1430 S. High St, Suite 112, Columbus, OH 43207 2016-07-19
1457714933 Matthew Isaac Lyons Internal Medicine 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 2016-04-01
1053712976 A Plus Children's Academy Community School Local Education Agency (LEA) 110 Obetz Rd., Columbus, OH 43207 2014-09-10
1407274301 William Hamilton Marshall V Student in an Organized Health Care Education/Training Program 1405 South High St, South High Primary Care Center, Columbus, OH 43207 2014-03-29
1912249665 Laura Romcevich Internal Medicine 700 Children's Dr. Ed650a, Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 2013-03-20
Find all providers in zip 43207

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891327755 Dejuan Julius Nelson Specialist 4937 Mcallister Ave, Columbus, OH 43227-1447 2020-02-09
1306481676 Big Heads Barber Salon Specialist 6161 Busch Blvd Ste 56, Columbus, OH 43229-2548 2019-11-11
1538723945 Nakia Frazier Specialist 4913 Festival St, Columbus, GA 31907-6065 2019-05-01
1033772868 Kimberly Gore Salon Inc Specialist 2534 Wynnton Rd Ste B, Columbus, GA 31906-2180 2019-04-17
1184108375 Crystal Denise Allen Specialist 3029 Cleveland Ave, Columbus, OH 43224-4421 2018-09-24
1770074445 Robert Tavani Specialist 1203 E Broad St, Columbus, OH 43205-1404 2018-05-29
1689191991 Columbus Tutoring Services, LLC Specialist 2700 E Main St Ste 211, Columbus, OH 43209-2536 2017-08-28
1265985352 Tim Jones Specialist 1527 Eastmeadow Pl, Columbus, OH 43235-7535 2016-07-26
1790148849 Gabriel Woon Specialist 913 25th St., Columbus, IN 47201 2016-04-05
1487059606 Wilbert Herschel Turner IIi Specialist 1160 Steelwood Rd, Columbus, OH 43212-1356 2014-10-30
Find all providers in COLUMBUS

Competitor

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City COLUMBUS
Zip Code 43207

Improve Information

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Dataset Information

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.

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