CHIAZO NNAWUCHI-EKENNA (NPI# 1487677340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487677340 |
| Entity Type | Individual |
| Full Name | CHIAZO NNAWUCHI-EKENNA |
| Credential | M.D. |
| Practice Address |
4505 Hospital St Ste C Pascagoula MS 39581-3609 |
| Mailing Address |
Po Box 726 Pascagoula MS 39568-0726 |
| Practice Telephone | 2287629595 |
| Practice Fax Number | 2287629494 |
| Mailing Telephone | 2287629595 |
| Mailing Fax Number | 2287629494 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
18851 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00652003 | 05 |
| Street Address |
4505 HOSPITAL ST STE C |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730593989 | Erin Kramer | Nurse Practitioner | 4505 Hospital St, Suite C, Pascagoula, MS 39581 | 2014-06-16 |
| 1790810422 | Premier Eye Clinic,pllc | Eyewear Supplier (Equipment, not the service) | 4505 Hospital St, Pascagoula, MS 39581-3609 | 2007-02-22 |
| 1083719256 | Pediatric Care Center, P.l.l.c. | Pediatrics | 4505 Hospital St, Suite C, Pascagoula, MS 39581-3609 | 2006-09-13 |
| 1043234461 | Yolanda A Gutierrez | Pediatrics | 4505 Hospital St, Ste C, Pascagoula, MS 39581-3609 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043234461 | Yolanda A Gutierrez | Pediatrics | 4505 Hospital St, Ste C, Pascagoula, MS 39581-3609 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144632662 | Touching Hands Healing Hearts Pllc | Pediatrics | 108 Bay Harbour Pl, Brandon, MS 39047-6108 | 2014-06-02 |
| 1447507009 | S.ali A Naqvi | Pediatrics | 234 S 12th Ave, Laurel, MS 39440-4325 | 2012-08-13 |
| 1477745511 | Susan P Parks | Pediatrics | 222 Rankin Rd, Canton, MS 39046-4874 | 2007-08-13 |
| 1033210315 | Natchez Pediatric Clinic Pllc | Pediatrics | 136 Jefferson Davis Blvd., Suite A, Natchez, MS 39120 | 2006-09-26 |
| 1518911445 | Achyutha S Pujari | Pediatrics | 1203 Ave B, Ste 200, Ellisville, MS 39437-2080 | 2006-05-22 |
| 1659366854 | Michelle J Gibson | Pediatrics | 5440 Watkins Dr, Suite B, Jackson, MS 39206-2034 | 2005-09-13 |
| 1881167435 | Sara Kain | Pediatrics | 2888 S Lamar Blvd, Oxford, MS 38655-5347 | 2019-01-07 |
| 1194111666 | Grant Patrick Saxton | Pediatrics | 1002 Jefferson Street, Suite 200, Laurel, MS 39440-4306 | 2015-04-11 |
| 1821342379 | South Central Regional Medical Center | Pediatrics | 234 S 12th Ave, Laurel, MS 39440-4325 | 2012-11-06 |
| 1144418609 | Lafayette Pediatric Clinic | Pediatrics | 2166 S Lamar Blvd, Oxford, MS 38655-5224 | 2007-10-10 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
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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.