NWABUNDO IFEYINWA ANUSIM (NPI# 1144504408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144504408 |
| Entity Type | Individual |
| Full Name | NWABUNDO IFEYINWA ANUSIM |
| Credential | M.D |
| Practice Address |
5215 Holy Cross Pkwy Mishawaka IN 46545 |
| Mailing Address |
3601 W 13 Mile Rd Royal Oak MI 48073-6712 |
| Practice Telephone | 5743355000 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
4301114550 | MI | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 01073275A | IN | Allopathic & Osteopathic Physicians |
| N | 282N00000X | General Acute Care Hospital | 125058994 | IL | Hospitals |
| Street Address |
5215 HOLY CROSS PKWY |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164422002 | Jonathan Neil Shenk | Emergency Medicine | 5215 Holy Cross Pkwy, Emergency Department, Mishawaka, IN 46545-1469 | 2005-07-21 |
| 1962022145 | Caramia Hummer | Respiratory Therapist, Registered | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2020-04-17 |
| 1174174635 | Laura Droege | Registered Nurse | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2019-09-26 |
| 1558916668 | Jordan Thomas Alberda | Nurse Practitioner | 5215 Holy Cross Pkwy, Mishawaka, IN 46545 | 2019-08-06 |
| 1881161214 | Alexi Bellchambers | Physician Assistant | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-10-24 |
| 1033697529 | Hospitalist Medicine Physicians of Indiana-tcg, LLC | Internal Medicine | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-08-06 |
| 1154818011 | Mary Irvin | Specialist/Technologist | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-04-17 |
| 1093219008 | Mayelin Lora-williams | Dietitian, Registered | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-03-23 |
| 1013446566 | Gevorg Martirosyan | Student in an Organized Health Care Education/Training Program | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2017-06-08 |
| 1699207530 | Julie Sauer | Nurse Practitioner | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2017-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649446444 | Rashid Khan | Internal Medicine | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2008-05-01 |
| 1184663742 | Shamila Garg | Internal Medicine | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2006-06-06 |
| 1518961002 | Rolan A Pascual | Internal Medicine | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2005-06-13 |
| 1659375145 | David A Taber | Internal Medicine | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2005-06-13 |
| 1891799391 | Robin T Zon | Internal Medicine | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2005-06-13 |
| 1386648749 | Bilal Ansari | Internal Medicine | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2005-06-13 |
| 1013911593 | Rafat H Ansari | Internal Medicine | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2005-06-13 |
| 1558365031 | Jose A Bufill | Internal Medicine | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728553 | Infusion Center of Indiana LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134b, Shelbyville, IN 46176-8550 | 2020-10-19 |
| 1659987832 | Vida Oncology LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134, Shelbyville, IN 46176-8550 | 2020-09-22 |
| 1306256839 | Anne Catherine Meier | Internal Medicine | 1600 S Lake Park Ave Ste 1101, Hobart, IN 46342-6641 | 2014-05-06 |
| 1033451083 | Richard Brian Gaynor | Internal Medicine | Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 | 2013-03-17 |
| 1851697536 | Melhem Jabbour | Internal Medicine | 2723 S 7th St Ste O, Terre Haute, IN 47802-3562 | 2011-01-28 |
| 1760798326 | Redmond Prindiville Hogan IIi | Internal Medicine | 2808 W 44th St, Indianapolis, IN 46228-3147 | 2010-08-20 |
| 1720392798 | Mohammad Issam Abu Zaid | Internal Medicine | 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 | 2010-08-02 |
| 1710112396 | Cancer Health Treatment Centers,p.c. | Internal Medicine | 104 Woodland Ct, Michigan City, IN 46360-7390 | 2009-05-26 |
| 1497998520 | Ashwin Kolala Vasudevamurthy | Internal Medicine | 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 | 2009-04-20 |
| 1386805307 | Vivian C Cook | Internal Medicine | 3699 Epworth Road, Newburgh, IN 47630-8909 | 2008-06-23 |
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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.