IKENNA CHIDUME OKEREKE


Address: 2 Dudley St, Suite 470, Providence, RI 02905-3236
Phone: 4012721800

IKENNA CHIDUME OKEREKE (NPI# 1194980219) 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) 1194980219
Entity Type Individual
Full Name IKENNA CHIDUME OKEREKE
Practice Address 2 Dudley St
Suite 470
Providence
RI 02905-3236
Mailing Address Po Box 16149
Rumford
RI 02916-0697
Practice Telephone 4012721800
Practice Fax Number 4014357069
Mailing Telephone 4014539625
Mailing Fax Number 4014357069
Enumeration Date 2008-07-29
Last Update Date 2012-12-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) MD14127 RI Allopathic & Osteopathic Physicians
N 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 01065651A IN Allopathic & Osteopathic Physicians

Office Location

Street Address 2 DUDLEY ST
SUITE 470
City PROVIDENCE
State RI
Zip Code 02905-3236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356343651 Northeast Orthotics and Prosthetics Inc Prosthetic/Orthotic Supplier 2 Dudley St, Ste 161, Providence, RI 02905-3236 2005-06-01
1366935231 Christy Gandhi Obstetrics & Gynecology 2 Dudley St, Providence, RI 02905-3236 2018-06-14
1295274215 Nora Kinslow Occupational Therapist 2 Dudley St, Suite 200, Providence, RI 02905-3236 2017-02-23
1578008082 Laura Nelson Occupational Therapist 2 Dudley St, Suite 200, Providence, RI 02905-3236 2016-12-20
1619328127 Bryan Jon Berlin Physician Assistant 2 Dudley St, Suite 200, Providence, RI 02905-3236 2016-06-27
1245600238 Kristin Wedel Social Worker 2 Dudley St, Providence, RI 02905-3236 2015-10-02
1497155378 Michael Platz Occupational Therapist 2 Dudley St, Ste 200, Providence, RI 02905-3236 2014-08-28
1164831160 Nicholas Bruno Physical Therapist 2 Dudley St, Suite 200, Providence, RI 02905-3236 2014-08-05
1619389160 Laurie J Deruosi Nurse Practitioner 2 Dudley St, Suite G 85, Providence, RI 02905-3236 2014-06-02
1851729511 Rhode Island Hospital Surgery 2 Dudley St, Suite 180, Providence, RI 02905-3236 2013-10-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477100808 Raisa Emilia Garcia-diaz Counselor 66 Pavilion Avenue, Providence, RI 02905 2019-08-21
1962976571 Nike A. Kendall Social Worker Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 2019-01-16
1891265443 Carolyn Te Young Pathology 1320 Narragansett Blvd, Cranston, RI 02905 2018-11-27
1417427071 Julianne Elizabeth Houtchens Dietitian, Registered Adult Primary Care 245 Chapman Street, Providence, RI 02905 2018-11-27
1922577394 Dilenia C Cruz Health Educator 335r Prairie Ave., Suite 2b, Providence, RI 02905 2018-11-15
1639653116 Varina S. Gunn Health Educator 335r Prarie Ave., Suite 2b, Providence, RI 02905 2018-09-20
1427590421 Cardea Healthcare LLC In Home Supportive Care 100 Pavilion Avenue, Suite 101, Providence, RI 02905 2016-11-08
1265884597 Maxwell King Physical Therapy Assistant 48 Moorland Avenue, Cranston, RI 02905 2016-07-11
1346698024 Samantha Lea Colli Physician Assistant 100 Dudley St Fl 3, Providence, RI 02905 2016-06-02
1346697448 Amy Jean Simpson Marriage & Family Therapist 1981 Broad Street, Cranston, RI 02905 2016-05-18
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457304859 Frank W. Sellke Thoracic Surgery (Cardiothoracic Vascular Surgery) Two Dudley Street, Ste. 470, University Cardiovascular Surgical Associates, Providence, RI 02905 2006-05-18
1144225673 Robert Anthony Indeglia Thoracic Surgery (Cardiothoracic Vascular Surgery) 208 Collyer St, Providence, RI 02904-1560 2005-06-21
1770728024 University Cardiovascular Surgical Associates Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 2 Dudley St, Suite 470, Providence, RI 02905-3236 2008-12-15
1477700243 The Miriam Hospital Thoracic Surgery (Cardiothoracic Vascular Surgery) 164 Summit Ave, Providence, RI 02906-2853 2008-08-25
1588821078 Steven Milman Thoracic Surgery (Cardiothoracic Vascular Surgery) 2 Dudley St, Suite 470, Providence, RI 02905-3236 2008-05-21
1841470051 Seacoast Thoracic & Cardiovascular Surgery Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) 1 Randall Sq, Suite 414, Providence, RI 02904-2709 2007-11-06
1437232543 Providence Surgical Care Group, Incorporated Thoracic Surgery (Cardiothoracic Vascular Surgery) 486 Silver Spring St, Providence, RI 02904-1556 2006-10-23
1689695736 Anthony Le Roy Moulton Thoracic Surgery (Cardiothoracic Vascular Surgery) 1 Randall Sq, Ste 414, Providence, RI 02904-2709 2006-07-22
1427094267 Michael Anthony Coady Thoracic Surgery (Cardiothoracic Vascular Surgery) 164 Summit Ave, Gilstein Bldg, #1053, Providence, RI 02906-2853 2006-06-21
1538117577 James G Fingleton Md Thoracic Surgery (Cardiothoracic Vascular Surgery) 208 Collyer St, Providence, RI 02904-1560 2006-05-04
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City PROVIDENCE
Zip Code 02905

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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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