MR. GREGORY ANYINAM OBIWUMA


Address: 5807 8th St Ne, Washington, DC 20011-2711
Phone: 2027064428

MR. GREGORY ANYINAM OBIWUMA (NPI# 1164052692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164052692
Entity Type Individual
Full Name MR. GREGORY ANYINAM OBIWUMA
Credential PMHNP
Practice Address 5807 8th St Ne
Washington
DC 20011-2711
Practice Telephone 2027064428
Mailing Telephone 2027064428
Enumeration Date 2020-01-23
Last Update Date 2020-01-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN1016444 DC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
DC 2407922 05

Office Location

Street Address 5807 8TH ST NE
City WASHINGTON
State DC
Zip Code 20011-2711

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 20011

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Dataset Information

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.

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