UWAYEMWEN OGBONMWONKPA AIDEYAN


Address: 807 Children's Way, Jacksonville, FL 32207-8426
Phone: 9043903600

UWAYEMWEN OGBONMWONKPA AIDEYAN (NPI# 1295738425) 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) 1295738425
Entity Type Individual
Full Name UWAYEMWEN OGBONMWONKPA AIDEYAN
Other Name UWA AIDEYAN-ALEXIS
Credential MD
Practice Address 807 Children's Way
Jacksonville
FL 32207-8426
Mailing Address Po Box 5270
Jacksonville
FL 32247-5720
Practice Telephone 9043903600
Practice Fax Number 9043903592
Mailing Telephone 9042885650
Mailing Fax Number 4076507578
Enumeration Date 2005-05-23
Last Update Date 2008-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085P0229X Radiology
Specialization: Pediatric Radiology
ME69757 FL Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
ME69757 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUE CROSS BLUE SHIELD 28338 01
FL AVMED 28338 01
FL RAILROAD MEDICARE 300132744 01
FL DEA BA4213170 01
FL 379203000 05

Office Location

Street Address 807 CHILDREN'S WAY
City JACKSONVILLE
State FL
Zip Code 32207-8426

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1013163104 Ruphlal Robert Gooljar Orthotist 807 Children's Way, Jacksonville, FL 32207-8426 2008-08-08
1023081775 Raj D Sheth Psychiatry & Neurology 807 Children's Way, Jacksonville, FL 32207 2006-02-10

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NPI Name Taxonomy Address Enumeration
1033768981 North Florida Pediatrics, Pa Pediatrics 4501 Atlantic Boulevard, Jacksonville, FL 32207 2019-09-04
1578117024 Pragna Mukesh Dholakia Nurse Practitioner 2624 Atlantic Blvd., Jacksonville, FL 32207 2019-08-01
1821653601 The Adoption Authority, Inc. Case Management 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 2019-05-07
1255896080 Elizabeth Lynn Houghton Social Worker Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 2019-02-06
1902374630 Guilherme Jose Agnoletto Neurological Surgery 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 2018-11-12
1073008504 Pavilion Infusion Therapy Inc Durable Medical Equipment & Medical Supplies 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 2018-06-27
1346733185 Dueseason1 Registered Nurse 4058 Saint Augustine Rd, Jacksonville, FL 32207 2018-06-06
1164911913 Eric Lang Poovey Nurse Practitioner Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 2018-05-08
1902311046 Spring Park Pharmacy LLC Durable Medical Equipment & Medical Supplies 3851 Emerson St Ste 13, Jacksonville, FL 32207 2017-12-12
1295247948 Emed Urgent and Primary Care Pa Clinic/Center 2570 Atlantic Boulevard, Jacksonville, FL 32207 2017-11-02
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Taxonomy Information

Taxonomy Code 2085P0229X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Pediatric Radiology

Taxonomy Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457572216 Inbal Cohen Radiology 655 West 8th Street, Ufjp Radiology Dept, Jacksonville, FL 32209 2007-05-01
1053750323 Stacy Allan White Jr. Radiology 807 Childrens Way, Jacksonville, FL 32207-8426 2013-06-20
1063654531 Scott Lee Davis Radiology 807 Childrens Way, Jacksonville, FL 32207-8426 2009-03-30
1699929521 William Robert Bireley II Radiology 807 Childrens Way, Jacksonville, FL 32207-8426 2008-11-05
1821202219 Robert Deflorio Radiology 807 Childrens Way, Jacksonville, FL 32207-8426 2007-05-09
1285712448 Debbie J. Merinbaum Radiology 807 Childrens Way, Jacksonville, FL 32207-8426 2006-11-02
1669588588 Zahir U Sarwar Radiology 807 Childrens Way, Jacksonville, FL 32207-8426 2006-08-22
1639285554 Dilip E Gole Radiology 807 Childrens Way, Jacksonville, FL 32207-8426 2006-08-22
1801901889 Elizabeth P. Mcgraw Radiology 807 Childrens Way, Jacksonville, FL 32207-8426 2006-08-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629218573 Tower Imaging Inc Radiology 17503 Dale Mabry Hwy N, Tower Radiology Center - N Dale Mabry, Lutz, FL 33548-4521 2009-03-04
1811173768 Tower Imaging Inc Radiology 2716 University Square Dr, Tower Breast Diagnostic Center Northside, Tampa, FL 33612-5513 2008-01-10
1790877579 Rhonda M. Kessler Radiology 16114 Waterleaf Ln, Fort Myers, FL 33908-3120 2006-09-29
1225052285 Andrew Bruce Campbell Radiology 1610 Ne 1st St Apt 10, Fort Lauderdale, FL 33301-3800 2006-07-26
1851334122 Richard Max Benator Radiology 501 6th Avenue South, All Children's Hospital, St Petersburg, FL 33701-4899 2006-06-14
1396707063 Tower Imaging LLC Radiology 4719 N Habana Ave, Tower Radiology Center Habana, Tampa, FL 33614-7105 2006-04-06
1700848470 Tower Imaging Inc Radiology 3069 Grand Pavilion Dr, Tower Radiology Center Bruce B Downs, Tampa, FL 33613-3757 2006-04-06
1740268077 Daniel Jay Podberesky Radiology 6535 Nemours Pkwy, Orlando, FL 32827-7884 2006-01-06
1437152378 James M Anderson Radiology 501 6th Ave S, St Petersburg, FL 33701-4634 2005-05-24
1063966901 Pediatric Specialty Group, Inc. Radiology 3100 Sw 62nd Ave, 1st Floor, Suite B- Department of Radiology, Miami, FL 33155 2016-08-09
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Competitor

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City JACKSONVILLE
Zip Code 32207

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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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