EMMA BERNICE OHAEGBULAM (NPI# 1073536942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073536942 |
Entity Type | Individual |
Full Name | EMMA BERNICE OHAEGBULAM |
Other Name | EMMA BOLDEN |
Credential | CNM ARNP |
Practice Address |
508 N Maryland Ave Plant City Family Care Plant City FL 33563 |
Mailing Address |
13110 Elk Mountain Dr Riverview FL 33579-7182 |
Practice Telephone | 8133497600 |
Practice Fax Number | 8133497561 |
Mailing Telephone | 8133497568 |
Mailing Fax Number | 8133497561 |
Enumeration Date | 2006-07-25 |
Last Update Date | 2012-02-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
ARNP673682 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 033159700 | 05 |
Street Address |
508 N MARYLAND AVE PLANT CITY FAMILY CARE |
City | PLANT CITY |
State | FL |
Zip Code | 33563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073519245 | Carol S. Thompson | Advanced Practice Midwife | 508 N Maryland Ave, Plant City, FL 33563-3820 | 2005-06-22 |
1770992117 | Maria Helena Brachowicz | Dentist | 508 N Maryland Ave, Plant City, FL 33563-3820 | 2014-08-11 |
1578994497 | Jennifer L Walkinshaw | Nurse Practitioner | 508 N Maryland Ave, Plant City, FL 33563-3820 | 2013-12-02 |
1386996742 | Guadalupe Lamas | Nurse Practitioner | 508 N Maryland Ave, Plant City, FL 33563-3820 | 2012-10-10 |
1912273285 | Suncoast Community Health Centers Inc | Pharmacy | 508 N Maryland Ave, Plant City, FL 33563-3820 | 2012-03-30 |
1891925061 | Brett Frazier | Family Medicine | 508 N Maryland Ave, Plant City, FL 33563-3820 | 2009-07-21 |
1952531691 | Robin Marie Flicker | Dentist | 508 N Maryland Ave, Plant City, FL 33563-3820 | 2009-07-15 |
1225165806 | Rosemary A Clanton | Nurse Practitioner | 508 N Maryland Ave, Plant City, FL 33563-3820 | 2007-02-28 |
1548325491 | Harvey Randolph Valdez | Dentist | 508 N Maryland Ave, Plant City, FL 33563-3820 | 2006-12-22 |
1700805819 | Dana Edward Perrin | Family Medicine | 508 N Maryland Ave, Plant City, FL 33563-3820 | 2006-07-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235738063 | Selena Giordano | Counselor | 1001 East Baker Street #100, Plant City, FL 33563 | 2020-10-22 |
1275171787 | Mary Ann Dillon | Nutritionist | 2011 N Wheeler Street, Plant City, FL 33563 | 2019-12-16 |
1023504271 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 1608 Oak Ave, Plant City, FL 33563 | 2018-07-10 |
1770092215 | Jennifer Lauren Zeljkovic | Nurse Practitioner | 1703 W. Thonotosassa Rd. A, Plant City, FL 33563 | 2017-09-27 |
1831632116 | Nusrat Bangash | Nurse Practitioner | 306 W Dixie St, Plant City, FL 33563 | 2016-11-18 |
1265987416 | Genice Collins Davis | Counselor | Heads, 100 E Baker Street #100, Plant City, FL 33563 | 2016-08-17 |
1184017089 | The Creative Chance | Counselor | 1803 C Collins Common James Redman Parkway, Plant City, FL 33563 | 2015-03-17 |
1518361377 | Anne J Lafontant | General Practice | 1509 W. Reynolds St Jay Care Medical Center, Plant City, FL 33563 | 2014-10-22 |
1003160201 | Heritage View Alf Inc. | Assisted Living Facility | 104 N. Gordon Street, Tampa, FL 33563 | 2012-11-09 |
1841455607 | Darshan Bhupen Shah | Family Medicine | 301 North Alexander Street, Advanced Care Hospitalists, Plant City, FL 33563 | 2008-07-22 |
Find all providers in zip 33563 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942774807 | Kiz Tosi | Nurse Practitioner | 419 Peoria Blvd, Crestview, FL 32536-2248 | 2019-01-14 |
1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
1235648296 | Lindsay Danielle Leider | Nurse Practitioner | 1625 Se 3rd Ave Ste 502, Fort Lauderdale, FL 33316-2521 | 2017-09-21 |
1720516974 | Polina Goldenberg | Nurse Practitioner | 1001 Nw 13th St Ste 101a, Boca Raton, FL 33486-2269 | 2017-06-01 |
1780044750 | Cherie Gordon | Nurse Practitioner | 2818 W Virginia Avenue, Tampa, FL 33607 | 2016-03-03 |
1487032967 | Doris Washington Tucker | Nurse Practitioner | 15013 Sw 110th Ter, Miami, FL 33196-2599 | 2015-05-15 |
1962895326 | University of Florida Jacksonville Physicians Inc | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4600, Ufjp - Uf Health Birth Center, Jacksonville, FL 32218-7213 | 2015-03-10 |
1538587332 | Midwife360, LLC | Nurse Practitioner | 332 W Boynton Beach Blvd # 3, Boynton Beach, FL 33435 | 2014-03-31 |
1811324965 | Dalia Philbeck | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 | 2013-10-03 |
1407122088 | Gloria Scheiner | Nurse Practitioner | 339 Mcintosh Ave, Orange Park, FL 32073-4831 | 2012-03-28 |
Find all providers with the same taxonomy |
City | PLANT CITY |
Zip Code | 33563 |
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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.