CHIDEBE UDEOZO (NPI# 1316112105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316112105 |
| Entity Type | Individual |
| Full Name | CHIDEBE UDEOZO |
| Credential | MD |
| Practice Address |
300 E Mckay St Elizabethtown NC 28337-9037 |
| Mailing Address |
601 Ramsey St Suite 200 Fayetteville NC 28301-4952 |
| Practice Telephone | 9108625500 |
| Practice Fax Number | 9108625501 |
| Mailing Telephone | 9107237959 |
| Mailing Fax Number | 9103231282 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2018-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2011-01366 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 386175 | 05 | |
| NC | 5918919 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 129 N Washington St, Sumter, SC 291504949 | 8037749680 |
| Street Address |
300 E MCKAY ST |
| City | ELIZABETHTOWN |
| State | NC |
| Zip Code | 28337-9037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457469165 | Bladen Medical Associates | Internal Medicine | 300 E Mckay St, Suite A, Elizabethtown, NC 28337-0517 | 2006-08-25 |
| 1588057137 | Ernestine Johnson | Nurse Practitioner | 300 E Mckay St, Elizabethtown, NC 28337-9037 | 2015-03-06 |
| 1417387036 | Crystal Rogers Newton | Nurse Practitioner | 300 E Mckay St, Elizabethtown, NC 28337-9037 | 2013-11-18 |
| 1851728943 | Robyn Grice Goostree | Nurse Practitioner | 300 E Mckay St, Elizabethtown, NC 28337-9037 | 2013-10-03 |
| 1902150618 | Bryan Monroe | Nurse Practitioner | 300 E Mckay St, Elizabethtown, NC 28337-9037 | 2012-11-01 |
| 1063764413 | Ashley B Marlowe | Nurse Practitioner | 300 E Mckay St, Elizabethtown, NC 28337-9037 | 2012-10-10 |
| 1184923872 | Janice Allen Pulley | Nurse Practitioner | 300 E Mckay St, Elizabethtown, NC 28337-9037 | 2011-03-21 |
| 1194908376 | Briana Gayle Graham | Physician Assistant | 300 E Mckay St, Elizabethtown, NC 28337-9037 | 2007-12-11 |
| 1033399233 | Cherie Michelle Inglis | Family Medicine | 300 E Mckay St, Elizabethtown, NC 28337-9037 | 2007-11-06 |
| 1851595607 | Jalane Cecelia Valentini | Pediatrics | 300 E Mckay St, Elizabethtown, NC 28337-9037 | 2007-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1649826447 | Donna Marie Gray | Technician | 1797 Mercer Mill Rd, Elizabethtown, NC 28337 | 2019-08-16 |
| 1053972877 | Professional Eye Care Optometry, Pa | Optometrist | 432 W Broad St, Elizabethtown, NC 28337 | 2019-06-24 |
| 1255896015 | Andersons Drug Store LLC | Durable Medical Equipment & Medical Supplies | 206 S. Poplar St., Elizabethtown, NC 28337 | 2019-02-06 |
| 1336618602 | Genese Anderson Peed | Pharmacist | 206 South Poplar, Elizabethtown, NC 28337 | 2018-11-16 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1821586918 | Coastal Horizons Center Inc. | Community/Behavioral Health | Coastal Horizons Center, Inc. - Bladen Day Treatment, 1496 Hwy 701 S., Elizabethtown, NC 28337 | 2018-04-25 |
| 1205353117 | Brianna Stalnaker | Pharmacist | 371 S Poplar St, Elizabethtown, NC 28337 | 2017-08-23 |
| 1982124681 | Justin M Degarmo Dmd & Ann Hamill Greene Dds Pa | Dentist | 401 Doctors Drive, Elizabethtown, NC 28337 | 2017-06-23 |
| 1336676121 | Megan Mcwhorter | Physical Therapy Assistant | 804 South Poplar Street, Elizabethtown, NC 28337 | 2017-05-11 |
| Find all providers in zip 28337 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1093360224 | Lancaster General Medical Group | Family Medicine | 432 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2019-08-05 |
| 1023546868 | Jahin Patel | Family Medicine | 2411 Ring Rd Ste 114, Elizabethtown, KY 42701-5930 | 2017-05-24 |
| 1568632974 | Susan Marie Leclerc | Family Medicine | 5456 Ridge Rd, Elizabethtown, PA 17022-8621 | 2008-03-03 |
| 1225231665 | Aniqa Baqauddin | Family Medicine | 1329 Amanda Jo Dr, Elizabethtown, KY 42701-2625 | 2007-06-05 |
| 1316020951 | Bernard Damon Greenwell | Family Medicine | 222 West Dixie Avenue, Elizabethtown, KY 42701 | 2006-10-24 |
| 1225127459 | Robert L Rich Jr. | Family Medicine | 300a East Mckay Street, Elizabethtown, NC 28337 | 2006-10-12 |
| 1225133408 | Cottle Medical Group Pa | Family Medicine | 103 S Owen Street, Elizabethtown, NC 28337 | 2006-09-13 |
| 1104832310 | Samuel Phillip Pike | Family Medicine | 100 Helmwood Plaza Drive, Elizabethtown, KY 42701 | 2006-07-31 |
| 1902848948 | Patrick E Gilhool | Family Medicine | 300 Maytown Rd, Elizabethtown, PA 17022 | 2006-06-12 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 28337 |
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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.