DR. EMMANUEL U OBI (NPI# 1447791645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447791645 |
| Entity Type | Individual |
| Full Name | DR. EMMANUEL U OBI |
| Credential | M.D. |
| Practice Address |
1011 14th Ave Nw Ardmore OK 73401-1828 |
| Practice Telephone | 5802206132 |
| Practice Fax Number | 5802206772 |
| Mailing Telephone | 5802206132 |
| Mailing Fax Number | 5802206772 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 36091 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588758205 | Emmanuel Obinwanne Obi | Pharmacist | 215 Perryhill Road, Montgomery, AL 36109 | 2006-10-03 |
| 1518960640 | Emmanuel I Obi | Legal Medicine | 1215 E College St, Brownsville, TN 38012-1656 | 2005-05-23 |
| 1861614166 | Emmanuel Chuks Obi Sr. | Pharmacist | 5301 Alameda Ave, El Paso, TX 79905 | 2007-05-03 |
| Street Address |
1011 14TH AVE NW |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497743611 | Beth Melanie May | Emergency Medicine | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2005-10-11 |
| 1164034872 | Aishwarya Srinivasan | Dietitian, Registered | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2020-08-24 |
| 1982177242 | Mercy Hospital Ardmore Inc | Clinic/Center | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2019-01-09 |
| 1336610708 | Nancy Lanette Cavner | Prevention Professional | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2018-12-11 |
| 1245738145 | Trey Ryan Roundtree | Nurse Anesthetist, Certified Registered | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2018-01-25 |
| 1750895603 | Hillary K Kotwal | Dietitian, Registered | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2017-11-29 |
| 1801308010 | Garrett Newton | Nurse Practitioner | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2017-10-27 |
| 1760993158 | Justin Cole Cheek | Nurse Practitioner | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2017-10-12 |
| 1386090066 | Jody Lee Smith | Internal Medicine | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2016-05-11 |
| 1649656125 | Carmon Anderson | Nurse Practitioner | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2015-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407237704 | Primecare Family Clinic LLC | Family Medicine | 1405 4th Ave Nw # 311, Ardmore, OK 73401-2708 | 2015-06-11 |
| 1295025765 | Jorge Luis Carmona Rodriguez | Family Medicine | 731 12th Ave Nw Ste 100, Ardmore, OK 73401-5762 | 2011-04-18 |
| 1588989719 | Paul Maury Prusky | Family Medicine | 25 East Athens Ave, Ardmore, PA 19003 | 2010-03-31 |
| 1518025469 | Vicky Berberian | Family Medicine | 647 Ardmore Ave, Ardmore, PA 19003-1831 | 2006-12-04 |
| 1922044494 | Lister Health Care Corporation | Family Medicine | 30320 Al Highway 53 Ste B&c, Ardmore, AL 35739-8766 | 2006-06-21 |
| 1437109394 | Anna Christella Burson | Family Medicine | 720 Grand Ave, Ardmore, OK 73401-4343 | 2006-05-11 |
| 1053377937 | Steven K Watkins | Family Medicine | 908 N Rockford Rd, Suite G, Ardmore, OK 73401-2540 | 2006-04-21 |
| 1740269430 | Karen L. Abrams | Family Medicine | 233 E. Lancaster Ave, Suite 303a, Ardmore, PA 19003 | 2006-01-11 |
| 1689652075 | Phillip Alton Nokes | Family Medicine | 1105 Michelin Rd, Michelin Family Health Center, Ardmore, OK 73401-1085 | 2006-01-05 |
| 1285611160 | James Forrestal | Family Medicine | 830 16th Ave Nw, Ardmore, OK 73401-1818 | 2005-12-30 |
| Find all providers in ARDMORE | ||||
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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.