DR. OBINNA OBIEJEMBA


Address: 4805 Garrison Blvd, Baltimore, MD 21215-5695
Phone: 4108003440

DR. OBINNA OBIEJEMBA (NPI# 1992055271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992055271
Entity Type Individual
Full Name DR. OBINNA OBIEJEMBA
Practice Address 4805 Garrison Blvd
Baltimore
MD 21215-5695
Practice Telephone 4108003440
Mailing Telephone 4108003440
Enumeration Date 2012-09-14
Last Update Date 2020-05-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
RN1016041 DC Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
R174190 MD Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R174190 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
DC 0002097424 05
VA 0002097424 05
MD 0002097424 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
800 King Farm Blvd, Suite 600, Rockville, MD 208505979 4108003440

Office Location

Street Address 4805 GARRISON BLVD
City BALTIMORE
State MD
Zip Code 21215-5695

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NPI Name Taxonomy Address Enumeration
1679787063 Zachary Dean Press Dentist 4805 Garrison Blvd, Baltimore, MD 21215-5641 2007-05-09
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1427534833 Ashley L Collins Social Worker 4805 Garrison Blvd, Baltimore, MD 21215-5695 2018-07-18
1710491287 Changing Lives At Home Mental Health Services,inc Community/Behavioral Health 4805 Garrison Blvd, Baltimore, MD 21215-5695 2017-11-20
1831644459 Cardiopulmonary Services, LLC Respiratory Therapist, Certified 4805 Garrison Blvd, Suite 200, Baltimore, MD 21215-5695 2016-08-24
1912354184 Changing Lives At Home Mental Health Services,inc Community/Behavioral Health 4805 Garrison Blvd, Baltimore, MD 21215-5695 2016-05-18
1699150144 Changing Lives At Home Inc Mental Health Community/Behavioral Health 4805 Garrison Blvd, Baltimore, MD 21215-5695 2015-07-27
1740611623 Changing Lives At Home, Inc. Mental Health Community/Behavioral Health 4805 Garrison Blvd, Baltimore, MD 21215-5695 2013-12-03
1841517224 Antone Wright Respiratory Therapist, Registered 4805 Garrison Blvd, Suite 200, Baltimore, MD 21215-5695 2010-04-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639736796 Talal Abalkhail Student in an Organized Health Care Education/Training Program 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 2019-05-23
1235795410 Bilal Khan Student in an Organized Health Care Education/Training Program 2041 West Belvedere Avenue, Balitmore, MD 21215 2019-05-14
1669036067 Nasir M Alhamdan Student in an Organized Health Care Education/Training Program Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 2019-05-01
1851863971 Brittany Michelle O'neill Specialist/Technologist Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 2018-12-31
1881164432 Emily Gamma Social Worker 4810 Seton Drive, Baltimore, MD 21215 2018-11-27
1518440478 Benson Baby Physical Therapist 2525west Belveder Ave, Baltimore, MD 21215 2018-09-07
1609360817 Bonnie Kahler Clinical Nurse Specialist 2401 Belvedere Avenue, Baltimore, MD 21215 2018-06-20
1932693843 Kelley Monica Cohill Social Worker Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 2018-06-15
1497245609 Kimberly Beth Koerner Social Worker 2401 W. Belvedere Avenue, Baltimore, MD 21215 2018-05-14
1184113078 Mary Jo Kozel Registered Nurse 2401 West Belvedere, Baltimore, MD 21215 2018-05-07
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21215

Improve Information

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Dataset Information

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.

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