IKENNA C OSUORJI (NPI# 1477693554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477693554 |
| Entity Type | Individual |
| Full Name | IKENNA C OSUORJI |
| Credential | MD |
| Practice Address |
4050 Northrise Dr Las Cruces NM 88011-7327 |
| Practice Telephone | 5756523040 |
| Practice Fax Number | 5756523093 |
| Mailing Telephone | 5756503335 |
| Mailing Fax Number | 5756523093 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
S5241 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD2014-0490 | NM | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 211 Bartlett Dr Ste 102, El Paso, TX 799121607 | 9157458631 |
| Street Address |
4050 NORTHRISE DR |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-7327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124428081 | Cancer/blood and Medicine Clinic LLC | Clinic/Center | 4050 Northrise Dr, Las Cruces, NM 88011 | 2014-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1427298520 | Ramadevi Medavarapu | Internal Medicine | 4391 E Lohman Ave, Las Cruces, NM 88011 | 2009-03-02 |
| 1639154628 | Mandeep Dhami | Internal Medicine | 4351 E. Lohman Ave, Suite 209, Las Cruces, NM 88011 | 2005-12-13 |
| 1376774489 | Phc Las Cruces | Internal Medicine | 2530 S Telshor Blvd, Suite 201, Las Cruces, NM 88011-4907 | 2009-08-06 |
| 1831297209 | Bishnu Rauth | Internal Medicine | 4351 E Lohman Ave, Ste 209, Las Cruces, NM 88011-8259 | 2006-09-20 |
| 1194823542 | Bishnu Jiban Rauth | Internal Medicine | 4351 E Lohman Ave, Ste 209, Las Cruces, NM 88011-8259 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962799775 | Sardar Zakariya Imam | Internal Medicine | 2325 E 30th St, Farmington, NM 87401-8900 | 2011-06-30 |
| 1336447440 | Jacob Amir | Internal Medicine | 5 Enmedio Pl, Santa Fe, NM 87508-2156 | 2011-03-14 |
| 1053621060 | Masoud Khorsand-sahbaie, Md Pa | Internal Medicine | 3028 N. Grimes, Hobbs, NM 88241 | 2010-10-13 |
| 1033435490 | Heloisa Prado Soares | Internal Medicine | Msc07 4025 1 University of Nm, Albuquerque, NM 87131-9416 | 2010-04-10 |
| 1881711877 | St. Vincent Hospital | Internal Medicine | 490 W Zia Rd, A, Santa Fe, NM 87505-6996 | 2007-03-23 |
| 1801972518 | Jeffrey D Neidhart | Internal Medicine | 735 W. Animas Street, Farmington, NM 87401 | 2006-10-27 |
| 1487743092 | Wadih Arap | Internal Medicine | 1 University of New Mexico Msc 07 4025, 1201 Camino De Salud, Albuquerque, NM 87131-0001 | 2006-10-12 |
| 1114990298 | Murray M Bern | Internal Medicine | Unm Cancer Ctr, Msc 07-4025 1201 Camino De Salud, Albuquerque, NM 87131-0001 | 2006-02-09 |
| 1932187044 | Masoud Khorsand- Sahbaie Md P A | Internal Medicine | 407 W. Country Club Road, Roswell, NM 88201 | 2006-01-09 |
| 1629066097 | Masoud Khorsand-sahbaie | Internal Medicine | 407 W Country Club Rd, Roswell, NM 88201-5209 | 2005-10-11 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on IKENNA C OSUORJI.
| 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.