OKECHUKWU ANTHONY IBEANU (NPI# 1538182571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538182571 |
| Entity Type | Individual |
| Full Name | OKECHUKWU ANTHONY IBEANU |
| Credential | M.D. |
| Practice Address |
9135 Piscataway Rd Ste 420 Clinton MD 20735-2555 |
| Practice Telephone | 3018282555 |
| Mailing Telephone | 3018282555 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 15442R | LA | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
MD423582 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1074497 | 05 | |
| PA | 103065271 | 05 |
| Street Address |
9135 PISCATAWAY RD STE 420 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-2555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551122 | Aldene Doyle | Nurse Practitioner | 9135 Piscataway Rd Ste 420, Clinton, MD 20735-2555 | 2020-06-05 |
| 1568973113 | Dorcas Yahaya | Nurse Practitioner | 9135 Piscataway Rd Ste 420, Clinton, MD 20735-2555 | 2017-10-21 |
| 1376790428 | G Medicine LLC | Internal Medicine | 9135 Piscataway Rd Ste 420, Clinton, MD 20735-2555 | 2008-08-20 |
| 1245387968 | Salim Yusuf Mansoor | Physical Medicine & Rehabilitation | 9135 Piscataway Rd Ste 420, Clinton, MD 20735-2555 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447604137 | Christopher Mckay | Obstetrics & Gynecology | 4113 Manor View Ct, Jarrettsville, MD 21084-1112 | 2016-04-19 |
| 1790121846 | Aparna Ramaseshan | Obstetrics & Gynecology | 2003 Medical Pkwy Ste 150, Annapolis, MD 21401-0317 | 2013-05-16 |
| 1871704171 | Donna Mazloomdoost | Obstetrics & Gynecology | 1400 Forest Glen Rd Ste 500, Silver Spring, MD 20910-1467 | 2007-05-25 |
| 1518303742 | Center for Continence and Pelvic Support PC | Obstetrics & Gynecology | 110 Hospital Rd, Ste 203, Prince Frederick, MD 20678-4019 | 2013-05-15 |
| 1063754125 | Prerna Raj Pandya | Obstetrics & Gynecology | 4940 Eastern Ave, 301 Building, Suite 3100, Room 3107, Baltimore, MD 21224-2735 | 2013-03-26 |
| 1912160771 | Peter G O'hare IIi | Obstetrics & Gynecology | 9103 Franklin Square Dr, Suite 305, Baltimore, MD 21237-3900 | 2008-07-02 |
| 1174695647 | Anita V Pillai-allen | Obstetrics & Gynecology | 10301 Georgia Ave, Suite 205, Silver Spring, MD 20902 | 2006-11-14 |
| 1831117472 | Joan L Blomquist | Obstetrics & Gynecology | 6569 N Charles St, Ste 307, Baltimore, MD 21204-6831 | 2006-07-18 |
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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.