DR. CHINAZOM IBEGBU (NPI# 1720346125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720346125 |
| Entity Type | Individual |
| Full Name | DR. CHINAZOM IBEGBU |
| Credential | M.D. |
| Practice Address |
Elm and Carlton Streets Buffalo NY 14263-0001 |
| Practice Telephone | 7168452300 |
| Practice Fax Number | 7168458980 |
| Mailing Telephone | 7168452300 |
| Mailing Fax Number | 7168458980 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
284955 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04788010 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Elmwood Ave, Rochester, NY 146423049 | 5852751200 | 5857565189 |
| Street Address |
ELM AND CARLTON STREETS |
| City | BUFFALO |
| State | NY |
| Zip Code | 14263-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667083 | Ahmed Nabil Belal | Radiology | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2005-05-27 |
| 1215537204 | Carolyn Robinson | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-10-28 |
| 1578186862 | Alexandra Dione Huffman | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-05-21 |
| 1013538461 | Gordon Bolles | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-04-27 |
| 1396371746 | Tiffany Marie Meyers | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2020-03-18 |
| 1275172934 | Chereve Ferry | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-12-30 |
| 1255972386 | Rosh-neke Dezarae Thomas | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-09-30 |
| 1205486271 | Kimberly Lynn Murray | Nurse Practitioner | Elm and Carlton Streets, Buffalo, NY 14267-0002 | 2019-09-12 |
| 1629626098 | Danielle Wegrzyn | Physician Assistant | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-08-29 |
| 1588210827 | Katherine Mahar | Physician Assistant | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2019-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321168 | Fernando Andres Angarita Celis | Surgery | Rosuell Park Comprehensive Cancer Center / Elm & Carlto, Streets / Scott Bieler Clinical Services Center 6th Fl, Buffalo, NY 14263 | 2020-09-23 |
| 1972074797 | Roswell Park Pharmacy Corporation | Pharmacy | Elm & Carlton Sts., Buffalo, NY 14263 | 2018-12-06 |
| 1235617861 | Heather Marie Poushay | Student in an Organized Health Care Education/Training Program | 665 Elm Street Roswell Park Comprehensive Cancer Canter, Attn Michelle Rotella, Buffalo, NY 14263 | 2018-08-06 |
| 1205212594 | Neelam Sandhu | Student in an Organized Health Care Education/Training Program | Elm & Carlton Streets Oncological Surgical Pathology, Roswell Park Cancer Institute, Buffalo, NY 14263 | 2015-08-10 |
| 1629413265 | Ivan Walter Cohen | Anesthesiology | Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY 14263 | 2013-05-09 |
| 1811243041 | Priyanka Maridhi Nanjireddy | Pediatrics | Roswell Park/oishei Children's Cancer and Blood Disorde, 685 Elm Street, Buffalo, NY 14263 | 2012-07-25 |
| 1760552699 | Mohamed Mokhtar El Sayed Desouki | Pathology | Elm & Carlton Streets, Buffalo, NY 14263 | 2006-11-08 |
| 1851948194 | Jamie Kerner | Nurse Practitioner | Elm & Carlton Streets, Buffalo, NY 14263 | 2019-08-21 |
| 1851856967 | Emily Taylor Haas | Nurse Practitioner | Elm & Carlton Streets, Buffalo, NY 14263 | 2019-02-02 |
| 1083134928 | Megan Elizabeth Schaefer | Physician Assistant | Elm and Carlton St, Buffalo, NY 14263 | 2017-06-21 |
| Find all providers in zip 14263 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588176986 | M. Reza Samie Md Pllc | Psychiatry & Neurology | 515 Abbott Rd Ste 400, Buffalo, NY 14220-1700 | 2017-10-26 |
| 1396298055 | Rakesh Rick Magun | Psychiatry & Neurology | Kaleida Health - Gates Vascular Institute - Buffalo Gen, 100 High Street, Buffalo, NY 14203 | 2016-07-29 |
| 1154772218 | Shail Thanki | Psychiatry & Neurology | 1360 Niagara St Apt 410, Buffalo, NY 14213-1300 | 2016-06-29 |
| 1164712378 | Robert Lawrence Glover | Psychiatry & Neurology | 77 Goodell St Ste 3, Buffalo, NY 14203-1243 | 2011-04-10 |
| 1477780054 | Thomas J Pfiffner | Psychiatry & Neurology | 40 George Karl Blvd Ste 120, Buffalo, NY 14221-7183 | 2009-06-22 |
| 1700034196 | Osman Farooq | Psychiatry & Neurology | 140 Hodge Ave, Department of Neurology - Wchob, Buffalo, NY 14222-2034 | 2008-08-28 |
| 1154397446 | Alan Lockwood | Psychiatry & Neurology | 3495 Main St, Va Medical Center, Buffalo, NY 14214-1317 | 2006-02-27 |
| 1124090329 | In Sook J Shin | Psychiatry & Neurology | 7 Community Drive, Aspire of Wny, Inc., Buffalo, NY 14225-2523 | 2006-02-02 |
| 1780664441 | Vladan Radovic | Psychiatry & Neurology | 462 Grider Street, Buffalo, NY 14215 | 2006-01-19 |
| 1356342083 | Mohammad Reza Samie | Psychiatry & Neurology | 515 Abbott Rd, Ste 400, Buffalo, NY 14220-1700 | 2005-08-03 |
| Find all providers in BUFFALO | ||||
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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.