IKECHI KONKWO (NPI# 1508286485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508286485 |
| Entity Type | Individual |
| Full Name | IKECHI KONKWO |
| Practice Address |
1275 S State St Dover DE 19901-6927 |
| Practice Telephone | (302) 672-2319 |
| Practice Fax Number | 3026722341 |
| Mailing Telephone | (302) 672-2319 |
| Mailing Fax Number | 3026722341 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
C1-0012159 | DE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 653 W 8th St, Jacksonville, FL 322096511 | 9042443903 | 9042443020 |
| Street Address |
1275 S STATE ST |
| City | DOVER |
| State | DE |
| Zip Code | 19901-6927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265422828 | Bayhealth Medical Center, Inc. | Clinic/Center | 1275 S State St, Dover, DE 19901-6927 | 2005-10-25 |
| 1700324779 | Deanna Price | Registered Nurse | 1275 S State St, Dover, DE 19901-6927 | 2017-02-09 |
| 1568805604 | Lisa M Rossi Mccalister | Nurse Practitioner | 1275 S State St, Dover, DE 19901-6927 | 2013-04-08 |
| 1518981539 | David Ross Davenport Jr. | Emergency Medicine | 1275 S State St, Dover, DE 19901-6927 | 2006-07-26 |
| 1386664837 | Sandra Anne Voss | Nurse Practitioner | 1275 S State St, Dover, DE 19901-6927 | 2006-07-20 |
| 1639105687 | Barbara Ann Vodvarka | Nurse Practitioner | 1275 S State St, Bayhealth Medical Center - Occupational Health, Dover, DE 19901-6927 | 2006-06-23 |
| 1851367957 | Sherel A Ott | Nurse Practitioner | 1275 S State St, Dover, DE 19901-6927 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274488 | Aba Services, LLC | Behavioral Analyst | 8 The Green, Ste R, Dover, DE 19901 | 2020-01-17 |
| 1699332171 | Robin Lynn Maracle | Clinical Nurse Specialist | 640 S. State St., Mail Code 1403, Dover, DE 19901 | 2019-05-21 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| 1033656798 | American Medical LLC | Durable Medical Equipment & Medical Supplies | 9 E. Lockerman Street, #202, Dover, DE 19901 | 2017-01-19 |
| 1245575067 | Keena Segre | Pharmacist | 601 South State Street, Dover, DE 19901 | 2012-12-05 |
| 1376845818 | Michael Angelo Vernale IIi | Psychologist | 260 Chad Street, Dover Afb, Dover, DE 19901 | 2010-12-02 |
| 1396046215 | Richard Scott Shipley | Hearing Instrument Specialist | 1000 Dover Mall,miracle Ear/sears/, Route 13 North Dupont Hwy., Dover, DE 19901 | 2010-11-09 |
| 1780999599 | Suzanne Irene Ford | Speech-Language Pathologist | 1695 S. State Street Suite 5-a, Dover, DE 19901 | 2010-08-17 |
| 1780816231 | Karen A West | Nutritionist | 540 S State St, Dover, DE 19901 | 2009-08-18 |
| Find all providers in zip 19901 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063544492 | Carole N. Tinklepaugh | Preventive Medicine | 801 Boxwood Road, Wilmington, DE 19804-2041 | 2007-03-12 |
| 1821614785 | Healogics Specialty Physicians of Delaware, LLC | Preventive Medicine | 801 Middleford Rd, Seaford, DE 19973-3636 | 2020-06-17 |
| 1194178707 | Healthstat Onsite Clinc Amsted Bac Milford | Preventive Medicine | 1162 Holly Hill Rd, Milford, DE 19963-6339 | 2016-07-19 |
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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.