DR. JEROME NWANNA NWOKIKE (NPI# 1346225794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346225794 |
| Entity Type | Individual |
| Full Name | DR. JEROME NWANNA NWOKIKE |
| Credential | M.D. |
| Practice Address |
5105 Camino Al Norte North Las Vegas NV 89031-2373 |
| Mailing Address |
P.o.box 371531 Las Vegas NV 89137 |
| Practice Telephone | 7027502438 |
| Practice Fax Number | 7027502173 |
| Mailing Telephone | 7027502438 |
| Mailing Fax Number | 7027502173 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2014-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
D0059285 | MD | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
D0059285 | MD | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D0059285 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
5105 CAMINO AL NORTE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89031-2373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639579162 | Frontier Medical & Behavioral Center Inc | Internal Medicine | 5105 Camino Al Norte, Suite 100, North Las Vegas, NV 89031-2373 | 2014-09-03 |
| 1588822936 | Okey Justin Oparanaku | Internal Medicine | 5105 Camino Al Norte, North Las Vegas, NV 89031-2373 | 2008-05-31 |
| 1689612624 | Maria K. Nwokike | Internal Medicine | 5105 Camino Al Norte, 100, North Las Vegas, NV 89031-2373 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071039 | Dimuro Facilities Services | Pain Medicine | Dimuro Pain Management, 3970 W Ann Road Ste 100, N Las Vegas, NV 89031 | 2019-12-27 |
| 1225681323 | Jasmine Coleman | Home Health Aide | 1517 Santa Rosalia Dr., North Las Vegas, NV 89031 | 2019-07-18 |
| 1558924134 | Jamie Esprecion | Driver | 3007 Extravagant Ave, North Las Vegas, NV 89031 | 2019-04-18 |
| 1831652387 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 4461 North Decatur Blvd, Ste 110, N Las Vegas, NV 89031 | 2019-04-11 |
| 1265928550 | Geraldine Alford | Chore Provider | 5150 El Camino Norte Suite 150, Las Vegas, NV 89031 | 2018-07-10 |
| 1861999468 | Danielle Anderson | Counselor | 4528 West Craig Suite 150, Las Vegas, NV 89031 | 2018-04-10 |
| 1871094078 | Ethel Richardson | Chore Provider | 620 Manuel Edwardo Ave, N. Las Vegas, NV 89031 | 2018-02-22 |
| 1124547997 | Crystal Dorin Mcdowell | Counselor | 5920 Palmilla St Unit 5, North Las Vegas, NV 89031 | 2017-09-13 |
| 1699293308 | Mitzi Darnell Adeyemi | Counselor | 2205 Mountain Sunset Ave, North Las Vegas, NV 89031 | 2017-09-01 |
| 1831629500 | Emily Davis | Case Manager/Care Coordinator | 1926 La Villa Dr, North Las Vegas, NV 89031 | 2017-06-15 |
| Find all providers in zip 89031 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700273737 | Boys Town Nevada | Psychiatry & Neurology | 6935 Aliante Pkwy, Suite 109, Building C, North Las Vegas, NV 89084-5818 | 2015-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164873246 | Lisa A Durette Md Pllc | Psychiatry & Neurology | 526 S Tonopah Dr Ste 210, Las Vegas, NV 89106-4043 | 2016-06-29 |
| 1720472327 | Fernando Mendez | Psychiatry & Neurology | 2021 S. Jones Blvd, Las Vegas, NV 89146 | 2015-03-23 |
| 1265774921 | Amanda Lauren Melone | Psychiatry & Neurology | 2900 Sandestin Dr, Reno, NV 89523-2137 | 2013-03-20 |
| 1063760411 | Uzoma C Osuchukwu | Psychiatry & Neurology | 4310 W Cheyenne Ave Ste 100, N Las Vegas, NV 89032-2484 | 2012-08-16 |
| 1043424443 | Rico Fontillas Inc | Psychiatry & Neurology | 1090 Wigwam Parkway, #100, Henderson, NV 89074 | 2007-05-09 |
| 1447359955 | Lisa Ann Durette | Psychiatry & Neurology | 6375 W Charleston Blvd Ste A-100, Las Vegas, NV 89146-1139 | 2006-09-21 |
| 1598860306 | Arden D Dingle | Psychiatry & Neurology | 5190 Neil Rd Ste 215, Reno, NV 89502-6509 | 2006-09-14 |
| 1255342069 | Joan Rueter Carapucci | Psychiatry & Neurology | 2775 S. Jones Blvd, Suite 101, Las Vegas, NV 89146 | 2006-08-10 |
| 1457303828 | Ann Childress | Psychiatry & Neurology | 4000 E. Charleston Blvd., B-130, Las Vegas, NV 89104 | 2006-05-16 |
| 1083239925 | Physicians of America | Psychiatry & Neurology | 526 S Tonopah Dr Ste 200, Las Vegas, NV 89106-4013 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89031 |
Please comment or provide details below to improve the information on DR. JEROME NWANNA NWOKIKE.
| 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.