DR. CHINOMSO VERONICA NWAGWU (NPI# 1417272642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417272642 |
| Entity Type | Individual |
| Full Name | DR. CHINOMSO VERONICA NWAGWU |
| Other Name | MISS CHINOMSO VERONICA OJIEGBE |
| Credential | M.D |
| Practice Address |
4260 Plymouth Rd Ann Arbor MI 48109-2700 |
| Mailing Address |
3621 South State Street 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7347646831 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2014-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 4301096732 | MI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 4301096732 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
4301096732 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4260 PLYMOUTH RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748537 | Henry Lauris Paulson | Psychiatry & Neurology | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2005-08-24 |
| 1487270997 | Anirudh Goyal | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-20 |
| 1902421001 | Bhushan Deshpande | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-15 |
| 1477178580 | Danielle Devlin | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-15 |
| 1902420110 | Melissa Ross | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-03 |
| 1699399881 | Stacy Lang | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-03 |
| 1205459559 | Bradley Disbrow | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-05-21 |
| 1356964704 | Ashlee Nicole Smith | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-05-20 |
| 1184247520 | Tatum Yvonne Zurawski | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-05-20 |
| 1841813318 | Karthik Padmanabhan | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138242 | Samantha Olszewski | Internal Medicine | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2019-01-16 |
| 1821430356 | Jawid Darvesh | Internal Medicine | 4260 Plymouth Rd, B1-313, Ann Arbor, MI 48109-2700 | 2013-07-25 |
| 1598907529 | Melanie E Zuo | Internal Medicine | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2009-04-06 |
| 1225150501 | Mary Patricia Wisely | Internal Medicine | 2366 Oak Valley Dr, Ann Arbor, MI 48103-8944 | 2007-04-06 |
| 1528198116 | Salas Ulhas Sabnis | Internal Medicine | 5361 Mcauley Drive, Ann Arbor, MI 48106 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801371315 | Matrix Medical Pllc | Internal Medicine | 52611 Blueridge Dr, Shelby Twp, MI 48316-2977 | 2018-10-01 |
| 1407364821 | Chesaning Comfort Care | Internal Medicine | 1800 W Brady Rd, Chesaning, MI 48616 | 2018-01-19 |
| 1992252191 | Vitality Home Health Services,inc. | Internal Medicine | 917 W Milham Ave, Portage, MI 49024-1248 | 2016-09-06 |
| 1427419662 | Shoaib A Rasheed | Internal Medicine | 250 Mcdougall St, Detroit, MI 48207-4291 | 2016-03-16 |
| 1710226477 | Nancy Couch | Internal Medicine | 791 Bradburn Ct, Northville, MI 48167-1027 | 2013-01-31 |
| 1639425879 | Anhkiet L Tran | Internal Medicine | 29736 Orion Ct, Farmington Hills, MI 48334-4114 | 2012-07-25 |
| 1700152014 | Nicholas Joseph | Internal Medicine | 24463 W 10 Mile Rd, Pace Southeast Michigan, Southfield, MI 48033-2931 | 2012-03-30 |
| 1689949034 | Drs Housecalls PC | Internal Medicine | 298 S. Old Woodward, Birminham, MI 48009 | 2012-03-19 |
| 1699055269 | Mobilized Docs of Michigan LLC | Internal Medicine | 23943 Industrial Park Dr, Farmington Hills, MI 48335-2862 | 2011-08-26 |
| 1780986018 | Spectrum Health Primary Care Partners | Internal Medicine | 727 Apple Ave, Holland, MI 49423-5405 | 2010-11-18 |
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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.