IKENNA CHIDUME OKEREKE (NPI# 1194980219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194980219 |
| Entity Type | Individual |
| Full Name | IKENNA CHIDUME OKEREKE |
| Practice Address |
2 Dudley St Suite 470 Providence RI 02905-3236 |
| Mailing Address |
Po Box 16149 Rumford RI 02916-0697 |
| Practice Telephone | 4012721800 |
| Practice Fax Number | 4014357069 |
| Mailing Telephone | 4014539625 |
| Mailing Fax Number | 4014357069 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2012-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD14127 | RI | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 01065651A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
2 DUDLEY ST SUITE 470 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343651 | Northeast Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 2 Dudley St, Ste 161, Providence, RI 02905-3236 | 2005-06-01 |
| 1366935231 | Christy Gandhi | Obstetrics & Gynecology | 2 Dudley St, Providence, RI 02905-3236 | 2018-06-14 |
| 1295274215 | Nora Kinslow | Occupational Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2017-02-23 |
| 1578008082 | Laura Nelson | Occupational Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2016-12-20 |
| 1619328127 | Bryan Jon Berlin | Physician Assistant | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2016-06-27 |
| 1245600238 | Kristin Wedel | Social Worker | 2 Dudley St, Providence, RI 02905-3236 | 2015-10-02 |
| 1497155378 | Michael Platz | Occupational Therapist | 2 Dudley St, Ste 200, Providence, RI 02905-3236 | 2014-08-28 |
| 1164831160 | Nicholas Bruno | Physical Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2014-08-05 |
| 1619389160 | Laurie J Deruosi | Nurse Practitioner | 2 Dudley St, Suite G 85, Providence, RI 02905-3236 | 2014-06-02 |
| 1851729511 | Rhode Island Hospital | Surgery | 2 Dudley St, Suite 180, Providence, RI 02905-3236 | 2013-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457304859 | Frank W. Sellke | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Two Dudley Street, Ste. 470, University Cardiovascular Surgical Associates, Providence, RI 02905 | 2006-05-18 |
| 1144225673 | Robert Anthony Indeglia | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208 Collyer St, Providence, RI 02904-1560 | 2005-06-21 |
| 1770728024 | University Cardiovascular Surgical Associates Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2 Dudley St, Suite 470, Providence, RI 02905-3236 | 2008-12-15 |
| 1477700243 | The Miriam Hospital | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Summit Ave, Providence, RI 02906-2853 | 2008-08-25 |
| 1588821078 | Steven Milman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2 Dudley St, Suite 470, Providence, RI 02905-3236 | 2008-05-21 |
| 1841470051 | Seacoast Thoracic & Cardiovascular Surgery Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Randall Sq, Suite 414, Providence, RI 02904-2709 | 2007-11-06 |
| 1437232543 | Providence Surgical Care Group, Incorporated | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 486 Silver Spring St, Providence, RI 02904-1556 | 2006-10-23 |
| 1689695736 | Anthony Le Roy Moulton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Randall Sq, Ste 414, Providence, RI 02904-2709 | 2006-07-22 |
| 1427094267 | Michael Anthony Coady | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Summit Ave, Gilstein Bldg, #1053, Providence, RI 02906-2853 | 2006-06-21 |
| 1538117577 | James G Fingleton Md | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208 Collyer St, Providence, RI 02904-1560 | 2006-05-04 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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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.