DR. AMARACHUKWU IMEDIEGWU OSISANYA (NPI# 1275899106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275899106 |
| Entity Type | Individual |
| Full Name | DR. AMARACHUKWU IMEDIEGWU OSISANYA |
| Other Name | DR. AMARACHUKWU IMEDIEGWU OSISANYA |
| Credential | M.D. |
| Practice Address |
1255 Highway 54 W Fayetteville GA 30214-4526 |
| Practice Telephone | 7707196911 |
| Mailing Telephone | 7707196911 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 073964 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1255 HIGHWAY 54 W |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790759579 | Terrence Wise | Internal Medicine | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2006-02-16 |
| 1518575737 | Lillie La Marre | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2020-07-14 |
| 1932723285 | Janam Nilesh Patel | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2020-06-02 |
| 1851934541 | Kara Elizabeth Wright | Registered Nurse | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2019-10-24 |
| 1093370827 | Virginia Ann Horan | Physician Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2019-05-07 |
| 1588123285 | Morgan Roberson | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2019-03-13 |
| 1174099410 | Ellen Marie Morris-white | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-10-14 |
| 1851874085 | Monika Hill | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-09-13 |
| 1700368958 | Kristen Dawn Graddy | Occupational Therapist | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-09-04 |
| 1407342603 | Mary Grace B Nuega | Nurse Practitioner | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| 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 |
|---|---|---|---|---|
| 1487005336 | Jordan Thomas Vorrie | Emergency Medicine | 543 Vista Dr, Fayetteville, NC 28305-5234 | 2016-06-22 |
| 1780033043 | Braden Coleman | Emergency Medicine | 4104 Medical Center Dr Ste 104, Fayetteville, NY 13066-6635 | 2016-06-08 |
| 1578984357 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 2890 N College Ave, Fayetteville, AR 72703-3412 | 2013-12-23 |
| 1023310448 | Arkansas Em-i Byrne Medical Services P.a. | Emergency Medicine | 3215 North Northhills Blvd, Fayetteville, AR 72703-4007 | 2010-11-18 |
| 1538486113 | Emergency Medicine of Northwest Arkansas, LLC | Emergency Medicine | 3873 North Parkview Drive, Fayetteville, AR 72703 | 2010-04-22 |
| 1689902660 | Shabnam Nourparvar | Emergency Medicine | 1255 Ga-54, Emergency Department, Fayetteville, GA 30214 | 2009-12-02 |
| 1659532067 | Cheryl Perry Colvin | Emergency Medicine | 3206 Melba Dr, Fayetteville, Fayetteville, NC 28301-3389 | 2008-06-18 |
| 1770798878 | Brian Keith Bracy | Emergency Medicine | 1742 E Joyce Blvd Ste 1, Fayetteville, AR 72703-5260 | 2007-05-11 |
| 1033283155 | Dalton L Gray II | Emergency Medicine | 3 E Appleby Rd, Suite 101, Fayetteville, AR 72703 | 2006-11-20 |
| 1225109911 | William I Cross | Emergency Medicine | 2086 Tailwinds Rd, Fayetteville, NC 28312-5001 | 2006-11-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on DR. AMARACHUKWU IMEDIEGWU OSISANYA.
| 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.