ENYIOMA CHUKWUZURUM OKECHUKWU (NPI# 1265883276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265883276 |
| Entity Type | Individual |
| Full Name | ENYIOMA CHUKWUZURUM OKECHUKWU |
| Credential | M.D. |
| Practice Address |
265 Griffin St E Amery WI 54001-1439 |
| Mailing Address |
640 Jackson St Saint Paul MN 55101-2502 |
| Practice Telephone | 7152688000 |
| Mailing Telephone | 2487619927 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 71138-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 65558 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 405 Stageline Rd, Hudson, WI 540167848 | 7155316000 | |
| 535 Hospital Rd, New Richmond, WI 540171449 | 7152432600 | |
| 640 Jackson St, Saint Paul, MN 551012502 | 2487619927 | |
| 927 Churchill St W, Stillwater, MN 550826605 | 6514395330 |
| Street Address |
265 GRIFFIN ST E |
| City | AMERY |
| State | WI |
| Zip Code | 54001-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164520 | Dylan Coe | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2005-06-16 |
| 1659927069 | Amery Regional Medical Center, Inc | Clinic/Center | 265 Griffin St E, Amery, WI 54001-1439 | 2019-08-12 |
| 1588223994 | Hannah Sons | Speech-Language Pathologist | 265 Griffin St E, Amery, WI 54001-1439 | 2019-06-10 |
| 1679050801 | Jennifer Mae Stuhr | Pharmacist | 265 Griffin St E, Amery, WI 54001-1439 | 2018-07-20 |
| 1629592431 | Tyler Bo Krings | Physical Therapist | 265 Griffin St E, Amery, WI 54001-1439 | 2017-08-02 |
| 1669994737 | Tami Jo Buus | Physical Therapist | 265 Griffin St E, Amery, WI 54001-1439 | 2017-07-11 |
| 1487174157 | Lisa Anne Erickson | Nurse Practitioner | 265 Griffin St E, Amery, WI 54001-1439 | 2017-06-23 |
| 1306376447 | Courtney Dahl | Family Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2017-06-12 |
| 1770010712 | Jon Heimler | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2017-05-22 |
| 1700339280 | Priya Sury | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2016-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124313424 | Heather Rose Marks | Dentist | 1030 Riverplace Drive, Amery, WI 54001 | 2011-06-14 |
| 1003142803 | Linda Christine Mueller | Counselor | 236 Griffin, Amery, WI 54001 | 2009-10-29 |
| 1952538548 | Samantha E. Kealey | Emergency Medicine | 265 Griffin St. E., Amery, WI 54001 | 2009-06-22 |
| 1578753448 | Bethann M Monson | Occupational Therapy Assistant | 220 N Keller Avene, Amery, WI 54001 | 2007-07-27 |
| 1912109851 | Jill R. Ladwig | Physical Therapy Assistant | 220 Keller Avenue, Amery, WI 54001 | 2007-06-04 |
| 1376601674 | Nancy A Reinhardt | Occupational Therapist | 505 Keller Ave S, Amery, WI 54001 | 2006-12-05 |
| 1093873390 | Jessica L Bradford | Occupational Therapist | 505 Keller Ave Sq, Amery, WI 54001 | 2006-12-05 |
| 1548354244 | A Touch of Life Inc. | Chiropractor | 308 North Keller Avenue, Amery, WI 54001 | 2006-10-03 |
| 1568566057 | Douglas D Podoll Dds Dc | Dentist | 404 Wisconsin Ave, Amery, WI 54001 | 2006-09-12 |
| 1932469475 | Amy E. Stoesz | Emergency Medicine | 265 Griffin St. E., Amery, WI 54001 | 2012-05-17 |
| Find all providers in zip 54001 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952538548 | Samantha E. Kealey | Emergency Medicine | 265 Griffin St. E., Amery, WI 54001 | 2009-06-22 |
| 1538164520 | Dylan Coe | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2005-06-16 |
| 1770010712 | Jon Heimler | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2017-05-22 |
| 1700339280 | Priya Sury | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2016-08-01 |
| 1821449364 | Allison Knorzer | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2016-06-27 |
| 1679937452 | Lukas Gladstone | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2016-04-07 |
| 1386025609 | Brian Mehus | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2015-06-11 |
| 1275928616 | Maria Finke | Emergency Medicine | 265 Griffin St E, Amery, WI 54001 | 2015-04-02 |
| 1790170280 | Elizabeth Robinson | Emergency Medicine | 265 Griffin St E, Amery, WI 54001 | 2015-04-01 |
| 1649684333 | Abraham Campos | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2014-06-20 |
| Find all providers in AMERY | ||||
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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.