IKECHUKWU IFEANYI ONYEDIKA (NPI# 1306008180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306008180 |
| Entity Type | Individual |
| Full Name | IKECHUKWU IFEANYI ONYEDIKA |
| Credential | M.D. |
| Practice Address |
4646 N Mesa St El Paso TX 79912-6104 |
| Practice Telephone | 9153136300 |
| Practice Fax Number | 9155212028 |
| Mailing Telephone | 9153136300 |
| Mailing Fax Number | 9155212028 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2017-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
R1096 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS MEDICAL LICENSE | R1096 | 01 |
| Street Address |
4646 N MESA ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-6104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864182 | Thomas E Alost | Orthopaedic Surgery | 4646 N Mesa St, El Paso, TX 79912-3577 | 2005-07-08 |
| 1669036158 | Bhs Physicians Network, Inc. | Durable Medical Equipment & Medical Supplies | 4646 N Mesa St, El Paso, TX 79912-6312 | 2019-04-30 |
| 1255739603 | Louis E. Zuniga Pt PC | Physical Medicine & Rehabilitation | 4646 N Mesa St, Ste D, El Paso, TX 79912-6104 | 2014-12-17 |
| 1720405319 | Greater Dallas Healthcare Enterprises | Durable Medical Equipment & Medical Supplies | 4646 N Mesa St, El Paso, TX 79912-6104 | 2014-03-21 |
| 1790117893 | Jason Max Mendivil | Podiatrist | 4646 N Mesa St, El Paso, TX 79912-6104 | 2013-07-31 |
| 1851670285 | Gabriela Martinez | Nurse Practitioner | 4646 N Mesa St, El Paso, TX 79912-6104 | 2011-08-16 |
| 1053546036 | Louis E. Zuniga Pt PC | Prosthetic/Orthotic Supplier | 4646 N Mesa St, Suite B, El Paso, TX 79912-6104 | 2009-05-20 |
| 1063473254 | Caesar A Zuniga | Podiatrist | 4646 N Mesa St, El Paso, TX 79912-6104 | 2006-03-29 |
| 1831165356 | Richard S Westbrook | Orthopaedic Surgery | 4646 N Mesa St, El Paso, TX 79912-6104 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093280463 | Baylor College of Medicine | Orthopaedic Surgery | 6363 San Felipe St Ste 150, Houston, TX 77057-2704 | 2018-10-11 |
| 1184945297 | Kathryn Denise Wiesman | Orthopaedic Surgery | 3533 South Alameda, Corpus Christi, TX 78411 | 2010-06-13 |
| 1205091683 | Gary Lee Douglas | Orthopaedic Surgery | 4020 Edgehill Rd, Fort Worth, TX 76116-7325 | 2008-07-24 |
| 1477758050 | Jaclyn F Hill | Orthopaedic Surgery | 6701 Fannin St Ste 660, Ms Ccc660, Houston, TX 77030-2610 | 2007-06-15 |
| 1205047867 | Robert D Graham, Md | Orthopaedic Surgery | 12176 N Mopac Expy, Suite D, Austin, TX 78758-2908 | 2007-05-25 |
| 1902025000 | Samer Tawakkol Md Pa | Orthopaedic Surgery | 12121 Richmond Ave Ste 408, Houston, TX 77082-2439 | 2007-04-25 |
| 1770610636 | Southern Orthopaedics & Sports Medicine Pa | Orthopaedic Surgery | 5009 S Mccoll Road, Edinburg, TX 78539 | 2007-02-27 |
| 1962422386 | David Scott Brown | Orthopaedic Surgery | 245 West State Highway 114, Suite 300, Southlake, TX 76092 | 2006-07-20 |
| 1528003076 | Pediatric Orthopedic Associates of San Antonio | Orthopaedic Surgery | 4499 Medical Dr., Suite 235, San Antonio, TX 78229-3712 | 2006-06-18 |
| 1821050600 | Philip L Wilson | Orthopaedic Surgery | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2006-04-05 |
| Find all providers with the same taxonomy | ||||
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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.