DR. OBIAGERI THELMA EKEH (NPI# 1518083872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518083872 |
| Entity Type | Individual |
| Full Name | DR. OBIAGERI THELMA EKEH |
| Credential | MD |
| Practice Address |
2040 W Charleston Blvd 402 Las Vegas NV 89102-2227 |
| Mailing Address |
1701 W Charleston Blvd 215 Las Vegas NV 89102-2325 |
| Practice Telephone | 7026712345 |
| Practice Fax Number | 7026712233 |
| Mailing Telephone | 7026712355 |
| Mailing Fax Number | 7023825388 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 13139 | NV | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
13139 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100500484 GROUP | 05 |
| Street Address |
2040 W CHARLESTON BLVD 402 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073591103 | Kristina Fontana | Genetic Counselor, MS | 2040 W Charleston Blvd, 401, Las Vegas, NV 89102-2227 | 2006-01-09 |
| 1194214106 | Campbell Psychiatry Pllc | Community/Behavioral Health | 2040 W Charleston Blvd, Las Vegas, NV 89102-2227 | 2018-05-04 |
| 1811379720 | Gagandeep Singh | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd, Suite 402, Las Vegas, NV 89102-2227 | 2015-06-27 |
| 1255713954 | Bhuvaneshwari Jagadesan | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd, Suite No 402, Las Vegas, NV 89102-2227 | 2015-06-18 |
| 1205222858 | Jacob Kahane | Otolaryngology | 2040 W Charleston Blvd, Suite 302, Las Vegas, NV 89102-2227 | 2015-04-10 |
| 1912391939 | Emilia Hedin Fisher | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd, Suite 402, Las Vegas, NV 89102-2227 | 2015-03-27 |
| 1043604077 | Minh-tri Nhat Pham | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd, #302, Las Vegas, NV 89102-2227 | 2015-03-27 |
| 1992199145 | Scott Carson Ogley | Plastic Surgery | 2040 W Charleston Blvd, Las Vegas, NV 89102-2227 | 2015-03-25 |
| 1518351097 | Michael Popov | Psychiatry & Neurology | 2040 W Charleston Blvd, Ste 202a, Las Vegas, NV 89102-2227 | 2015-03-24 |
| 1952795239 | Marlo Grant Asis Jr. | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd, Suite #302, Las Vegas, NV 89102-2227 | 2015-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
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| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780029413 | Judith Sabrina Ben Ari Lazcano | Pediatrics | 1800 W. Charleston Blvd, Pediatric Critical Care Administration, Las Vegas, NV 89102 | 2013-05-08 |
| 1417199589 | Jennifer Demichele | Pediatrics | 9732 Mount Lompoc Ct, Las Vegas, NV 89178-7511 | 2009-04-03 |
| 1376578674 | Consolacion Saqueton Saqueton | Pediatrics | 1800 W Charleston Blvd - University Medical Center, Las Vegas, NV 89102-2329 | 2006-07-12 |
| 1922056811 | Gioia & Associates, Ltd | Pediatrics | 1333 N Buffalo Dr, Ste 290, Las Vegas, NV 89128-3636 | 2006-05-04 |
| 1396131819 | Prashant Jha | Pediatrics | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2015-04-10 |
| 1205276250 | Mais Yacoub | Pediatrics | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2013-07-03 |
| 1669815023 | Jason Edward Vargas | Pediatrics | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2013-04-16 |
| 1326350125 | Laura Quinones | Pediatrics | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 | 2010-07-08 |
| 1740426469 | Oscar Alberto Ingaramo | Pediatrics | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2008-12-30 |
| 1205084464 | Silvana Rosa Arciniegas Rodriguez | Pediatrics | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2008-08-29 |
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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.