Ifeoma Jacqueline Igboeli (NPI# 1144434374, PAC ID# 6901091529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1144434374 |
| PAC ID by PECOS | 6901091529 |
| Professional Enrollment ID | I20170426000084 |
| Full Name | Ifeoma Jacqueline Igboeli |
| Organization Legal Name | GREAT LAKES PHYSICIAN PRACTICE PC |
| Address |
15 S Main St Suite 170 Jamestown NY 14701-6627 |
| Phone Number | 8144831183 |
| Gender | F |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6709007701 |
| Number of Group Practice Members | 85 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330239 | UPMC CHAUTAUQUA WCA |
| Address | Phone | Organization |
|---|---|---|
| 15 S Main St, Suite 170, Jamestown, NY 14701-6627 | 8144831183 | GREAT LAKES PHYSICIAN PRACTICE PC |
| Organization Legal Name | GREAT LAKES PHYSICIAN PRACTICE PC |
| Physicians | 69 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Currie | Nurse Practitioner | Great Lakes Physician Practice PC | 322 Park Ave, Dunkirk, NY 14048-2237 |
| Michael Guilding Pita | Internal Medicine | Great Lakes Physician Practice PC | 504 Central Ave, Dunkirk, NY 14048-2515 |
| Sarah Gallagher | Physician Assistant | Great Lakes Physician Practice PC | 12 Ctr St, Fredonia, NY 14063-1769 |
| Melissa M Ranney | Physician Assistant | Great Lakes Physician Practice PC | 15 S Main St, Jamestown, NY 14701-6627 |
| Patrick S Collins | Family Medicine | Great Lakes Physician Practice PC | 31 Sherman St, Suite 2400, Jamestown, NY 14701-7082 |
| Shakeel Ahmad | Internal Medicine | Great Lakes Physician Practice PC | 113 Main St, Silver Creek, NY 14136-1452 |
| Robert J Bailey | Family Medicine | Great Lakes Physician Practice PC | 15 S Main St, Jamestown, NY 14701-6626 |
| Dorcas I Lacayo-allen | Family Medicine | Great Lakes Physician Practice PC | 15 S Main St, Jamestown, NY 14701-6626 |
| Gaurav Ahluwalia | Internal Medicine | Great Lakes Physician Practice PC | 504 Central Ave, Dunkirk, NY 14048-2515 |
| Timothy C Brown | General Surgery | Great Lakes Physician Practice PC | 15 S Main St, Jamestown, NY 14701-6626 |
| Street Address |
15 S MAIN ST SUITE 170 |
| City | JAMESTOWN |
| State | NY |
| Zip | 14701-6627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa M Ranney | Physician Assistant | Great Lakes Physician Practice PC | 15 S Main St, Jamestown, NY 14701-6627 |
| Richard B Menashe | General Practice | 15 S Main St, Edison, NJ 08837-3447 | |
| Jacob C Mcbride | Physical Therapy | Chautauqua Pt Ot and Slp Professionals Pllc | 15 S Main St, Suite 220, Jamestown, NY 14701-6626 |
| Robert J Bailey | Family Medicine | Great Lakes Physician Practice PC | 15 S Main St, Jamestown, NY 14701-6626 |
| Dorcas I Lacayo-allen | Family Medicine | Great Lakes Physician Practice PC | 15 S Main St, Jamestown, NY 14701-6626 |
| John M Phelan | Chiropractic | 15 S Main St, Knox, IN 46534-1413 | |
| Timothy C Brown | General Surgery | Great Lakes Physician Practice PC | 15 S Main St, Jamestown, NY 14701-6626 |
| Michael B Sherman | Allergy/immunology | 15 S Main St, Marlboro, NJ 07746-1595 | |
| Kelly Mckenna | Nurse Practitioner | Wellnow Urgent Care PC | 15 S Main St, Suite 270, Jamestown, NY 14701-6629 |
| George L So | Cardiovascular Disease (cardiology) | Great Lakes Physician Practice PC | 15 S Main St, Jamestown, NY 14701-6626 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara I Gibbs | Optometry | 779 Fairmont Ave, Jamestown, NY 14701 | |
| Albert J Persia | Family Medicine | Family Health Medical Services Pllc | 715 Falconer St, Jamestown, NY 14701-1935 |
| Carol Wright | Clinical Social Worker | County of Chautauqua - A Mun Corp | 139 Buffalo St, Jamestown, NY 14701-2149 |
| Jennifer Wolfe | Clinical Social Worker | County of Chautauqua - A Mun Corp | 139 Buffalo St, Jamestown, NY 14701-2149 |
| Kristin Saunders | Clinical Social Worker | County of Chautauqua - A Mun Corp | 139 Buffalo St, Jamestown, NY 14701-2149 |
| Karen Mary Dillon | Clinical Social Worker | County of Chautauqua - A Mun Corp | 139 Buffalo St, Jamestown, NY 14701-2149 |
| Vivien L Redeye | Family Medicine | Family Health Medical Services Pllc | 42 Dunham Ave, Jamestown, NY 14701-2514 |
| Katherine Meleen | Nurse Practitioner | Family Health Medical Services Pllc | 42 Dunham Ave, Jamestown, NY 14701-2514 |
| Elizabeth Gattman | Nurse Practitioner | Family Health Medical Services Pllc | 42 Dunham Ave, Jamestown, NY 14701-2514 |
| Kristin Sue Anderson-taylor | Physician Assistant | Family Health Medical Services Pllc | 42 Dunham Ave, Jamestown, NY 14701-2514 |
| Find all physicians in zip 14701 | |||
| City | JAMESTOWN |
| Zip Code | 14701 |
| Specialty | GENERAL SURGERY |
| City + Specialty | JAMESTOWN + GENERAL SURGERY |
Please comment or provide details below to improve the information on Ifeoma Jacqueline Igboeli.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.