DR. IFEANYI B NWADUKWE (NPI# 1992207831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992207831 |
| Entity Type | Individual |
| Full Name | DR. IFEANYI B NWADUKWE |
| Practice Address |
619 N Providence Rd Columbia MO 65203-4355 |
| Practice Telephone | 5732341070 |
| Mailing Telephone | 5732341070 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 83915 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003260019 | Ifeanyi Victor Nwadukwe | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-04-15 |
| Street Address |
619 N PROVIDENCE RD |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-4355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528204153 | Latosha Marie Harper | Physical Therapist | 619 N Providence Rd, Columbia, MO 65203-4355 | 2009-01-03 |
| 1942820519 | Stephen Anthony Fuselli | Clinic/Center | 619 N Providence Rd, Columbia, MO 65203-4355 | 2020-04-23 |
| 1750919916 | Riyadh Abdulsattar Majeed Al-saffar | Family Medicine | 619 N Providence Rd, Columbia, MO 65203-4355 | 2020-03-31 |
| 1619509551 | Muna Salahaddin Telsem | Family Medicine | 619 N Providence Rd, Columbia, MO 65203-4355 | 2020-02-09 |
| 1366008682 | Cuc-llc | Internal Medicine | 619 N Providence Rd, Columbia, MO 65203-4355 | 2019-05-13 |
| 1114408671 | Clayton C Campbell IIi | Family Medicine | 619 N Providence Rd, Columbia, MO 65203-4355 | 2018-08-23 |
| 1134368962 | Jonathan W Morris | Internal Medicine | 619 N Providence Rd, Columbia, MO 65203-4355 | 2009-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945754 | Escobedo Advanced Healthcare Solutions LLC | General Practice | 121 Sparkleberry Crossing Rd Ste 200, Columbia, SC 29229-8639 | 2020-09-02 |
| 1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
| 1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
| 1235648551 | Robert Calaluce | General Practice | 140 Walter Williams Hall, Columbia, MO 65211-1200 | 2017-09-29 |
| 1013301738 | Harold Woodliff Sanford Jr. | General Practice | 1829 Senate St Apt 9c, Columbia, SC 29201-3837 | 2015-03-19 |
| 1710383435 | Epoch - Central Missouri Limited Liability Company | General Practice | 2900 Trimble Rd., Columbia, MO 65201-6465 | 2014-11-06 |
| 1396093068 | Inder S Gujral | General Practice | 8795 Endless Ocean Way, Columbia, MD 21045-5938 | 2012-08-28 |
| 1407104482 | Gary Mosher Jones | General Practice | 2004 Riding Ridge Rd, Columbia, SC 29223-6713 | 2012-08-22 |
| 1972861854 | William Frederick Mcfadden | General Practice | 3121 Chinaberry Dr, Columbia, SC 29204-3664 | 2012-04-27 |
| 1215255617 | Barr Enterprises,llc | General Practice | 112 Norse Dr, Columbia, SC 29229-3304 | 2010-05-10 |
| Find all providers in COLUMBIA | ||||
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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.