MR. CHIGOZIE L IBE (NPI# 1417915588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417915588 |
| Entity Type | Individual |
| Full Name | MR. CHIGOZIE L IBE |
| Credential | PA-C |
| Practice Address |
382 Epps St Wind Gap PA 18091-9717 |
| Mailing Address |
995 Buck Dr Nazareth PA 18064-8668 |
| Practice Telephone | 6108638598 |
| Mailing Telephone | 6105887155 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 25MP00120400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | MA051543 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE HEALTHPLAN CENTR | 5005698 | 01 |
| Street Address |
382 EPPS ST |
| City | WIND GAP |
| State | PA |
| Zip Code | 18091-9717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881693109 | Kenneth P Sun | Anesthesiology | 382 Epps St, Box 266, Wind Gap, PA 18091-9717 | 2005-07-19 |
| 1831265222 | Progressive Pain Solutions LLC | Physical Medicine & Rehabilitation | 382 Epps St, Wind Gap, PA 18091 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306332473 | Life Change Health P.C. | Family Medicine | 497 Bushkill Plaza Ln Ste B, Wind Gap, PA 18091 | 2018-07-02 |
| 1922105428 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 855 S Broadway, Wind Gap, PA 18091 | 2006-09-19 |
| 1770678229 | Mark Wright Powell | Family Medicine | 487 E. Moorestown Rd, #101, Wind Gap, PA 18091-0386 | 2006-10-03 |
| 1669520714 | James Michael Dillon | Pharmacist | 855 N Broadway, Wind Gap, PA 18091-1116 | 2007-01-08 |
| 1215382585 | Zachary Savercool | Specialist/Technologist | 275 E Center St, Wind Gap, PA 18091-1223 | 2016-04-25 |
| 1598815466 | Wind Gap Ambulance Corps Inc | Ambulance | 547 E West St, Wind Gap, PA 18091-1255 | 2007-01-11 |
| 1730135583 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 525 E West St, Kidney Treatment Center of Slatebelt - Ckd Services, Wind Gap, PA 18091-1255 | 2006-05-25 |
| 1811165160 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 525 E West St, Ckd Services of Slatebelt, Wind Gap, PA 18091-1255 | 2008-02-20 |
| 1902901291 | Bio-medical Applications of Pennsylvania Inc | Clinic/Center | 525 E West St, Wind Gap, PA 18091-1255 | 2006-09-13 |
| 1639203938 | Diana M Giovagnoli | Social Worker | 122 N Broadway, Wind Gap, PA 18091-1274 | 2007-03-16 |
| Find all providers in zip 18091 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891760666 | Brenda L Kleinman | Physician Assistant | 497 Bushkill Plaza Ln, Wind Gap, PA 18091-9665 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. CHIGOZIE L IBE.
| 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.