DR. ELEANYA OGBURU-OGBONNAYA (NPI# 1104005941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104005941 |
| Entity Type | Individual |
| Full Name | DR. ELEANYA OGBURU-OGBONNAYA |
| Credential | M.D. |
| Practice Address |
2601 Millwood Ave Columbia SC 29205-1218 |
| Mailing Address |
Po Box 209 State Park SC 29147-0209 |
| Practice Telephone | 8037880038 |
| Practice Fax Number | 8037880655 |
| Mailing Telephone | 8037880038 |
| Mailing Fax Number | 8037880655 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2014-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
18323 | SC | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
18323 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | T23356 | 05 |
| Street Address |
2601 MILLWOOD AVE |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29205-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629084132 | Midlands Neurology & Pain Assoc, P.a | Psychiatry & Neurology | 2601 Millwood Ave, Midlands Neurology & Pain Assoc, P.a, Columbia, SC 29205-1218 | 2006-08-01 |
| 1386287241 | Michelle Lynn Oden Webb | Social Worker | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2019-10-23 |
| 1831661503 | Midlands Comprehensive Pain, LLC | Pain Medicine | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2018-12-19 |
| 1699280644 | Midlands Neurology & Pain Assoc, P.a | Substance Abuse Rehabilitation Facility | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2017-12-12 |
| 1639549322 | Linda W. Scott | Social Worker | 2601 Millwood Ave, Columbia, SC 29203 | 2015-10-07 |
| 1285997833 | Clifford Bernard Marsh | Social Worker | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2012-06-19 |
| 1770607327 | Ebony H Hudson | Social Worker | 2601 Millwood Ave, Columbia, SC 29205 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462241 | New Life Home Care LLC | In Home Supportive Care | 4423 Ste. D, Devine Street, Columbia, SC 29205 | 2019-11-25 |
| 1689144222 | Jessica M Jarman LLC | Counselor | 610 Holly St., Columbia, SC 29205 | 2018-11-27 |
| 1073083648 | Christopher James Troyer | Psychologist | 2805 Millwood Ave., Columbia, SC 29205 | 2018-11-27 |
| 1891277505 | Daniel Long | Pharmacist | 630 Kilbourne Road, Columbia, SC 29205 | 2018-08-30 |
| 1699126136 | Steven Matthew Ferrufino | Counselor | 417 S Edisto Ave, Columbia, SC 29205 | 2016-06-27 |
| 1619351863 | Deangela Lenore Delaney | Nurse Practitioner | 2739 Laurel Street, Columbia, SC 29205 | 2015-07-17 |
| 1548677131 | Maegan Elizabeth Dean | Pharmacist | 2708 Rosewood Drive, Columbia, SC 29205 | 2014-07-16 |
| 1144561465 | Abby Habicht | Speech-Language Pathologist | 705 Maple St., H 102, Columbia, SC 29205 | 2013-03-12 |
| 1750630562 | Pamela B. Robertson | Pharmacist | 3312 Devine Street, Columbia, SC 29205 | 2012-09-07 |
| 1609124023 | Kristen Anne Tice | Dietitian, Registered | 1029 Deerwood Street, Columbia, SC 29205 | 2012-08-15 |
| Find all providers in zip 29205 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| 1336764240 | Jal Ankeeth Ved | Psychiatry & Neurology | Prisma Health Medical Group Neurology, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2020-06-16 |
| 1356962799 | Mindsmattersmd LLC | Psychiatry & Neurology | 3305 Clark Ln, Pmb 130, Columbia, MO 65202-2404 | 2020-04-27 |
| 1851955413 | David Alan Lockwood Jr. | Psychiatry & Neurology | Neurology Patient Care, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2019-04-29 |
| 1831610989 | Christopher Bruck Zust | Psychiatry & Neurology | 8 Medical Park Ste 420, Neurology Clinic, Columbia, SC 29203 | 2017-06-29 |
| 1629598990 | Nicole Alyssa Hogan | Psychiatry & Neurology | Neurology Department, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2017-06-27 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1780061234 | Alex Mirzoev | Psychiatry & Neurology | 1333 Taylor St Ste 1c, Columbia, SC 29201-2944 | 2015-05-05 |
| 1770997108 | Nimit Nakul Patel | Psychiatry & Neurology | 8 Medical Park, Ste 420, Neurology Dept, Columbia, SC 29203 | 2014-06-13 |
| 1497195390 | Ravish Ashokkumar Kothari | Psychiatry & Neurology | 8 Med Park Ste 420, Neurology, Columbia, SC 29203 | 2013-06-25 |
| 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.