DR. CHISAROKA WOBIARERI ECHENDU


Address: 310 N 11th St, Beaumont, TX 77702-1802
Phone: 4099815510

DR. CHISAROKA WOBIARERI ECHENDU (NPI# 1336404748) 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) 1336404748
Entity Type Individual
Full Name DR. CHISAROKA WOBIARERI ECHENDU
Credential M.D., PH.D.
Practice Address 310 N 11th St
Beaumont
TX 77702-1802
Practice Telephone 4099815510
Practice Fax Number 4099815511
Mailing Telephone 4099815510
Mailing Fax Number 4099815511
Enumeration Date 2012-07-11
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
Q9339 TX Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
8333 9th Ave, Port Arthur, TX 776428083 4097298088
3080 College St, Beaumont, TX 777014606 4092125000

Office Location

Street Address 310 N 11TH ST
City BEAUMONT
State TX
Zip Code 77702-1802

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922388503 Altus Radiation Oncology Beaumont, Lp Clinic/Center 310 N 11th St, Beaumont, TX 77702-1802 2011-08-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346871134 Anne Parker Chen Psychologist 2431 Liberty St., Beaumont, TX 77702 2020-01-30
1841715299 Encounter Home Care, Inc. Home Health 990 I H 10 North, 225, Beaumont, TX 77702 2017-08-07
1962860023 Jennifer Abney Bell Nurse Practitioner 3030 North St., Suite 510, Beaumont, TX 77702 2016-02-04
1720407687 Jennifer Huff Nurse Practitioner 2980 Calder Ave, Beaumont, TX 77702 2014-04-08
1669894580 Julie Christine Makdsi Psychologist 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 2014-01-11
1437586682 Lori Wenner Registered Nurse 2410 Harrison Street, Beaumont, TX 77702 2013-10-02
1548503311 Robert J Grammatico Emergency Medicine 2830 Calder Ave., Beaumont, TX 77702 2013-03-30
1396084992 Courtney Marie Guidry Physician Assistant 755 N 11th St Ste P5200, Beaumont, TX 77702 2013-02-04
1043524788 Swarnalatha Devi Bathina Dentist 490 Ih-10, Suite 200, Beaumont, TX 77702 2010-08-05
1376798884 Rehana Haq Javed Pathology Christus Hospital 2830 Calder St., Beaumont, TX 77702 2008-11-25
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083613038 Danny C Chow Radiology 755 S 11th St, Ste 100a, Beaumont, TX 77701-3732 2005-07-20
1992033559 Apryl Scott Mensah Radiology 690 N 14th St Fl 3, Beaumont, TX 77702 2009-11-19
1093945578 Loma Linda University Radiation Medicine Radiology 81 Highland Springs Ave, Beaumont, CA 92223-2511 2009-07-20
1669414777 Henry Oldham Williams Radiology 690 N 14th St, Third Floor, Beaumont, TX 77702-1449 2006-06-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376154534 Genesiscare Landmark Texas Cancer Care Pa Radiology 12606 Greenville Ave Ste 160, Dallas, TX 75243-1915 2020-08-12
1780232090 Yaser Hasan Radiology 1911 Holcombe Blvd Apt 1615, Houston, TX 77030-4190 2019-08-29
1932557030 Joseph Charles Arko Radiology 11532 Champions Green Dr, Houston, TX 77066-1070 2016-05-30
1962860221 Urology San Antonio, P.a. Radiology 7718 Pasteur Dr, San Antonio, TX 78229-3402 2016-02-02
1619355419 Jamie Pawlowski Radiology 2215 E Villa Maria Rd Ste 130, Bryan, TX 77802-2585 2015-05-12
1073915245 Texas Radiation Oncology Medical Group, Pllc Radiology 2800 State Hwy 114 East, Suite 100, Trophy Club, TX 76262 2014-09-19
1548660186 Century West Houston Pllc Radiology 2610 W Sam Houston Pkwy S, Houston, TX 77042-0008 2014-09-02
1275971533 Corsicana Cancer Center Radiology 306 Hospital Dr., Corsicana, TX 75110 2013-06-10
1194079376 Century Radiation Oncology Lubbock, Pllc Radiology 424 N. Utica, Lubbock, TX 79416-3035 2012-11-09
1285999698 Robert Dery Lindberg Radiology 3757 Robinhood St, Houston, TX 77005-2027 2012-07-11
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Competitor

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City BEAUMONT
Zip Code 77702

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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