CHIKWENDU C NWOSU (NPI# 1104994375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104994375 |
| Entity Type | Individual |
| Full Name | CHIKWENDU C NWOSU |
| Credential | MD |
| Practice Address |
2919 S Ellsworth Rd Suite 139 Mesa AZ 85212-2164 |
| Mailing Address |
3846 E Lafayette Ave Gilbert AZ 85298-9130 |
| Practice Telephone | 9174740025 |
| Mailing Telephone | 9174740025 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2014-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2006022624 | MO | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 37888 | AZ | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 37888 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 165740001 | 05 | |
| RAILROAD MEDICARE | P00376722 | 01 | |
| HEALTHLINK | 767486 | 01 | |
| BCBS | 216979 | 01 | |
| MO | 207579905 | 05 |
| Street Address |
2919 S ELLSWORTH RD SUITE 139 |
| City | MESA |
| State | AZ |
| Zip Code | 85212-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972502862 | Gabriel U. Ogbonnaya | Internal Medicine | 2919 S Ellsworth Rd, Suite # 124, Mesa, AZ 85212-2164 | 2005-07-21 |
| 1154774305 | Mesa Physical Medicine Pllc | Nurse Practitioner | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2016-07-22 |
| 1912331158 | Southwest Spine & Rehab Pllc | Chiropractor | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2013-08-23 |
| 1225381999 | Amy Lynn Wagner | Naturopath | 2919 S Ellsworth Rd, Suite 109, Mesa, AZ 85212-2164 | 2012-10-18 |
| 1023381340 | Scott Alexander Taylor | Chiropractor | 2919 S Ellsworth Rd, 102, Mesa, AZ 85212-2164 | 2012-02-16 |
| 1326344375 | Choice Medical Imaging of Arizona, LLC | Clinic/Center | 2919 S Ellsworth Rd, Suite 101, Mesa, AZ 85212-2164 | 2011-02-08 |
| 1881928273 | Kate Ashley Maine | Physician Assistant | 2919 S Ellsworth Rd, Mesa, AZ 85212-2164 | 2009-10-01 |
| 1710148663 | Custom Smile LLC | Dentist | 2919 S Ellsworth Rd, Suite 141, Mesa, AZ 85212-2164 | 2008-06-23 |
| 1508024175 | Aimee Lynn Hada | Physician Assistant | 2919 S Ellsworth Rd, Ste. 124, Mesa, AZ 85212-2164 | 2008-05-29 |
| 1003089301 | Kristy K Brown | Speech-Language Pathologist | 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212-2164 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467914853 | Endeavor Mobile Medical, LLC | Internal Medicine | 6242 E Arbor Ave Ste 111, Mesa, AZ 85206-1309 | 2019-04-03 |
| 1851886329 | Alfonso A Tan Md PC | Internal Medicine | 6844 E Brown Rd Ste 101, Mesa, AZ 85207-3758 | 2018-06-27 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1952849945 | Platinum Internal Medicine | Internal Medicine | 130 S 63rd St Ste 101, Mesa, AZ 85206-1620 | 2017-02-09 |
| 1700235751 | Iora Senior Health Inc | Internal Medicine | 9124 E Main St, Suite 20-21, Mesa, AZ 85207-8700 | 2016-06-10 |
| 1265811418 | Sandra Violetta Mele | Internal Medicine | 1301 S. Crimson Rd, Mesa, AZ 85209-3316 | 2015-05-20 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1760778906 | Maaz Iqbal | Internal Medicine | 535 E Mckellips Rd Ste 121, Mesa, AZ 85203-2527 | 2011-06-27 |
| 1326333733 | Amy Elizabeth Daliman | Internal Medicine | 6116 East Arbor Avenue, Suite 112, Mesa, AZ 85206 | 2011-06-14 |
| 1396046413 | Lifecare Hospitalists Pllc | Internal Medicine | 2627 N Raven, Mesa, AZ 85207-2038 | 2010-11-04 |
| Find all providers in MESA | ||||
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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.