MR. FORTUNATE AMARACHUKWU EJIMONE (NPI# 1780242420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780242420 |
| Entity Type | Individual |
| Full Name | MR. FORTUNATE AMARACHUKWU EJIMONE |
| Credential | M.B.B.S. |
| Practice Address |
720 Westview Dr. Sw Morehouse School of Medicine/gme Atlanta GA 30310 |
| Practice Telephone | 4047521500 |
| Practice Fax Number | 4047561313 |
| Mailing Telephone | 4046954873 |
| Mailing Fax Number | 4047561313 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2020-05-12 |
| NPI Deactivation Date | 01/16/2020 |
| NPI Reactivation Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
720 WESTVIEW DR. SW MOREHOUSE SCHOOL OF MEDICINE/GME, |
| City | ATLANTA |
| State | GA |
| Zip Code | 30310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134775208 | Naesm Mens Health and Wellness Center | Clinic/Center | 2140 Martin Luther King Jr Dr Sw Ste 201, Atlanta, GA 30310 | 2019-08-14 |
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1629636683 | Manan Shah | Student in an Organized Health Care Education/Training Program | 720 Westview Dr, Sw Morehouse School of Medicine/gme, Atlanta, GA 30310 | 2019-06-04 |
| 1922589589 | Bria Campbell | Counselor | 1009 Windsor St Sw, Atlanta, GA 30310 | 2018-08-22 |
| 1821583584 | Onyedikachi Kenneth Michaels | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine / Gme, 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-06-26 |
| 1881185387 | Precious Oghenefejiro Odunvbun | Student in an Organized Health Care Education/Training Program | 720 West View Dr Sw Morehouse School of Medicine/gme, Department of Medicine, Atlanta, GA 30310 | 2018-05-21 |
| 1598253908 | Chinonyelum Doris Nwagbara | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine, Gme 720 Westview Drive Sw, Atlanta, GA 30310 | 2018-05-01 |
| 1679060552 | Danielle Nicole Oliver | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine/gme 720 Westview Dr Sw, Atlanta, GA 30310 | 2018-04-17 |
| 1376049072 | Ngozi Egondu Okanu | Student in an Organized Health Care Education/Training Program | Gme 720 Westview Dr, Sw, Atlanta, GA 30310 | 2018-04-02 |
| 1992200489 | Ruwaydah Hasan | Student in an Organized Health Care Education/Training Program | Morehouse School of Medicine/ Gme, 720 Westview Dr Sw, Atlanta, GA 30310 | 2018-03-27 |
| Find all providers in zip 30310 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563909 | Josephine Almanzar | Student in an Organized Health Care Education/Training Program | 199 Armour Dr Ne Ste E, Atlanta, GA 30324-3973 | 2020-09-20 |
| 1013532597 | Ivy Elizabeth Cook | Student in an Organized Health Care Education/Training Program | 3121 Flowers Rd S Apt I, Atlanta, GA 30341-5648 | 2020-06-10 |
| 1265055495 | Jeffrey Quinn Taylor II | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne # 2300b, Atlanta, GA 30322-1013 | 2020-05-21 |
| 1073134391 | Robert Shvarts | Student in an Organized Health Care Education/Training Program | 465 Memorial Dr Se Unit 346, Atlanta, GA 30312-2229 | 2020-04-27 |
| 1477173920 | Ryan William Flanagan | Student in an Organized Health Care Education/Training Program | 2591 Piedmont Rd Ne Apt 1531, Atlanta, GA 30324-6280 | 2020-04-24 |
| 1467071589 | Charles Thomas Reeder | Student in an Organized Health Care Education/Training Program | 1744 Logans Knl Ne, Atlanta, GA 30329-4100 | 2020-04-09 |
| 1548899743 | Chandni Patel | Student in an Organized Health Care Education/Training Program | 700 14th St Nw, Atlanta, GA 30318-5408 | 2020-04-08 |
| 1962031625 | Rachel Reed | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne Ste H-100, Atlanta, GA 30322-1059 | 2020-04-05 |
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1467080218 | Aminah Danielle Phelps | Student in an Organized Health Care Education/Training Program | 395 Saint Jacques Ct Sw, Atlanta, GA 30331-8434 | 2020-03-28 |
| Find all providers in ATLANTA | ||||
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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.