DR. OLIVIA BRIDGET MIJUMBI (NPI# 1144208000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144208000 |
Entity Type | Individual |
Full Name | DR. OLIVIA BRIDGET MIJUMBI |
Other Name | OLIVIA BRIDGET NANZIRI |
Credential | M.D. |
Practice Address |
239 Wilmont Drive Suite A Gastonia NC 28054-4048 |
Mailing Address |
Po Box 550818 Gastonia NC 28055-0818 |
Practice Telephone | 7048640303 |
Practice Fax Number | 7048646070 |
Mailing Telephone | 7048640303 |
Mailing Fax Number | 7048646070 |
Enumeration Date | 2006-01-02 |
Last Update Date | 2012-01-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 9701818 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | HEALTHSOURCE OF NC | 810561334 | 01 |
NC | PRIMARY PHYSCIAIN CARE | 810561334 | 01 |
NC | STATE HEALTH PLAN NC | 1322Y | 01 |
NC | CIGNA | 9554744001 | 01 |
NC | BLUECROSS BLUESHIELD | 1322Y | 01 |
NC | PREMIER HEALTH SYSTEMS | 810561334 | 01 |
SC | TRICARE | 810561334 | 01 |
NC | 891322Y | 05 | |
MA | PHCS | 9259849 | 01 |
SC | N01818 | 05 | |
NC | AETNA | 2900124 | 01 |
NC | UNITED HEALTHCARE | 12-01098 | 01 |
NC | HEALTHCARE SAVINGS | 810561334 | 01 |
KY | HEALTHNET OF CA | 810561334 | 01 |
TN | NORTH AMERICA ADMIN LP | 810561334 | 01 |
NC | MEDCOST | A8078 | 01 |
KS | ONE HEALTH | 810561334 | 01 |
NC | WELLPATH SELECT INC | 810561334 | 01 |
NC | SOUTHCARE PPO INC | 810561334 | 01 |
Street Address |
239 WILMONT DRIVE SUITE A |
City | GASTONIA |
State | NC |
Zip Code | 28054-4048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
Find all providers in zip 28054 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194966903 | First Pediatric Care Center, P.a. | Pediatrics | 2644 Court Drive, Gastonia, NC 28054-1449 | 2009-03-09 |
1619057452 | Christina Zanakis-reid | Pediatrics | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2006-10-16 |
1134233034 | Margaret Lubega | Pediatrics | 2644 Court Dr, Gastonia, NC 28054-1449 | 2006-08-18 |
1366439093 | Ellen Satterwhite Davis | Pediatrics | 705 Summit Crossing Pl, Suite 150, Gastonia, NC 28054-2137 | 2005-09-27 |
1588930937 | Kavithashree Gnanasekaran | Pediatrics | 2544 Court Dr, Ste C, Gastonia, NC 28054-3450 | 2012-03-30 |
1447540224 | Carolinas Medical Center | Pediatrics | 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152 | 2011-04-13 |
1811145014 | Carolinas Physicians Network Inc | Pediatrics | 2544 Court Dr, Ste C, Gastonia, NC 28054-3450 | 2008-09-03 |
1073774055 | Sharon Roncevich Baxter | Pediatrics | 991 W Hudson Blvd, Gastonia, NC 28052-6430 | 2008-06-22 |
1003089764 | Amy Little | Pediatrics | 2544 Court Dr, Ste C, Gastonia, NC 28054-3450 | 2008-04-02 |
1194904706 | Caromont Medical Group, Inc. | Pediatrics | 705 Summit Crossing Pl, Ste 150, Gastonia, NC 28054-2216 | 2007-10-31 |
Find all providers in GASTONIA |
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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.