CHIKWENDU C NWOSU MD LLC (NPI# 1508155979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508155979 |
| Entity Type | Organization |
| Organization Name | CHIKWENDU C NWOSU MD LLC |
| Other Organization Name | STRIPES PRIMARY CARE |
| Practice Address |
3846 E Lafayette Ave Gilbert AZ 85298-9130 |
| Mailing Address |
2919 S Ellsworth Rd Suite 139 Mesa AZ 85212-2164 |
| Practice Telephone | 4809845225 |
| Practice Fax Number | 4809845447 |
| Mailing Telephone | 4809845225 |
| Mailing Fax Number | 4809845447 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2014-02-03 |
| Authorized Official Name | KELLY BRADSHAW (ADMINISTRATOR) |
| Authorized Official Telephone | 4809845225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 307499 | 05 |
| Other Name | Type Code |
|---|---|
| Stripes Primary Care | Doing Business As Name - Organization |
| Street Address |
3846 E LAFAYETTE AVE |
| City | GILBERT |
| State | AZ |
| Zip Code | 85298-9130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912352725 | Stripes Medical Group LLC | Internal Medicine | 3846 E Lafayette Ave, Gilbert, AZ 85298-9130 | 2016-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629614623 | Katherine Elizabeth Reynolds | Nurse Practitioner | 1956 E. Azalea Ct., Gilbert, AZ 85298 | 2019-11-25 |
| 1972023281 | Jamie Lynn Williams | Specialist/Technologist | 2216 E Brigadier Dr, Gilbert, AZ 85298 | 2017-06-27 |
| 1891233896 | Gabbrielle Rene Knabe | Nurse Practitioner | 3336 East Chandler Heights Road Ste 132, Sundance Medical Associates, Gilbert, AZ 85298 | 2017-02-09 |
| 1508212580 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 3030 E Sports Court, Gilbert, AZ 85298 | 2016-05-10 |
| 1952766602 | Ji Yong Kim | Specialist/Technologist, Other | 2301 West Sanoque Ct, Gilbert, AZ 85298 | 2015-12-23 |
| 1043675838 | Clarisse Kamgaing | Psychologist | 2442 E. Eleana Lane, Gilbert, AZ 85298 | 2015-12-21 |
| 1831577139 | Arizona Iom LLC | Specialist/Technologist, Other | 2301 West Sanoque Court, Gilbert, AZ 85298 | 2015-05-07 |
| 1306268164 | Jessica O'neil | Licensed Practical Nurse | 6930 South Seville Blvd E, Gilbert, AZ 85298 | 2014-01-14 |
| 1548696164 | James Holloway | Chiropractor | 4828 S Val Vista Dr, Gilbert, AZ 85298 | 2013-09-16 |
| 1457685174 | Carrie Jennifer Malachowski | Social Worker | 4115 E. Saraband Way, Gilbert, AZ 85298 | 2009-09-29 |
| Find all providers in zip 85298 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538510326 | R&g Du Company LLC | Internal Medicine | 3252 E Virgil Dr, Gilbert, AZ 85298-4304 | 2016-06-23 |
| 1467795617 | Nicholas Brian Harrell | Internal Medicine | 4370 E Rawhide St, Gilbert, AZ 85296-1572 | 2013-04-05 |
| 1982950739 | Nikhil Sood | Internal Medicine | 1900 N. Higley Rd, Bgmc/attn: Hospitalists, Gilbert, AZ 85234 | 2012-07-31 |
| 1760782973 | Michael L. Smith | Internal Medicine | 1684 E Boston St Ste 101, Gilbert, AZ 85295-6220 | 2010-10-22 |
| 1235450073 | Matthew M. Graham | Internal Medicine | 3420 S Mercy Rd Ste 211, Gilbert, AZ 85297-0424 | 2010-06-16 |
| 1053540567 | Pawel T Zymek | Internal Medicine | 4915 E Baseline Rd Ste 123, Gilbert, AZ 85234-2969 | 2009-07-06 |
| 1629206065 | Jonathon Paul Mahn | Internal Medicine | 250 W Juniper Ave Unit 7, Gilbert, AZ 85233-3916 | 2009-06-24 |
| 1306070750 | Ana Maria Sierra De Aragon | Internal Medicine | 3303 E Baseline Rd Ste 203, Gilbert, AZ 85234-2728 | 2009-05-13 |
| 1811130040 | Rachel Bond | Internal Medicine | 3420 S Mercy Rd Ste 312, Gilbert, AZ 85297-0425 | 2009-04-17 |
| 1518120500 | Hope Ijaola | Internal Medicine | 1760e Pecos Rd 326, Gilbert, AZ 85295-3208 | 2008-07-09 |
| Find all providers in GILBERT | ||||
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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.