DR. GODWIN OBINNA UZOMBA (NPI# 1659376051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659376051 |
| Entity Type | Individual |
| Full Name | DR. GODWIN OBINNA UZOMBA |
| Credential | M.D. |
| Practice Address |
4456 Central Ave Charlotte NC 28205-5702 |
| Practice Telephone | 9802990023 |
| Mailing Telephone | 9802990023 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2019-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
200000152 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891277F | 05 | |
| 3072946-HMO | AETNA | 01 | |
| 2279397-INDIVIDUAL | UNITED HEALTHCARE | 01 | |
| NC | BCBS NC-INDIVIDUAL # | 1277F | 01 |
| NC | BCBS NC-GROUP # | 014KK | 01 |
| 7715252-PPO | AETNA | 01 | |
| C6405 | MEDCOST | 01 | |
| 582305218-GROUP # | TRICARE | 01 | |
| SC | BCBS SC - LANCASTER | 582305218002 | 01 |
| SC | GP3653 | 05 | |
| 2104818 | MAMSI | 01 | |
| NC | BCBS SC - PINEVILLE | 582305218 | 01 |
| SC | BCBS SC-ROCK HILL | 582305218001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10340 Park Rd, Charlotte, NC 282108401 | 7045409181 | 7045409182 |
| 115 Stone Village Dr, Fort Mill, SC 297086489 | 7045409181 |
| Street Address |
4456 CENTRAL AVE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28205-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962841460 | Diabetes Endocrinology & Metabolism Associates, Pa | Preferred Provider Organization | 4456 Central Ave, Charlotte, NC 28205-5702 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260493 | Sarah Mcgeachy Greene | Social Worker | 1332 Morningside Dr., Charlotte, NC 28205 | 2020-09-16 |
| 1538705090 | Insight Counseling & Mental Health Co, Pllc | Social Worker | 4922 Albemarle Blvd, Charlotte, NC 28205 | 2019-11-20 |
| 1821631672 | Healthy Living Pharmacy | Pharmacy | 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 | 2019-10-24 |
| 1861957292 | Oakhurst Health Investers Inc. | Pharmacy | 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 | 2019-02-11 |
| 1710459938 | Leis Therapy LLC | Physical Therapist | 1617 Onslow Dr, Charlotte, NC 28205 | 2018-12-28 |
| 1518449776 | Natalie C Martinez-rogers Dmd Pa | Dentist | 2100 N Davidson St Ste B, Charlotte, NC 28205 | 2018-09-05 |
| 1144716499 | Resourceful Solutions II | Case Management | 4920 Albmarle Roadd, Charlotte, NC 28205 | 2018-07-10 |
| 1679072805 | Richard Mcdonald | Counselor | 4922 Albemarle Rd Ste 5, Charlotte, NC 28205 | 2018-02-02 |
| 1487160107 | Catherine King | Nurse Practitioner | 2801 Virginia Ave, Charlotte, NC 28205 | 2017-12-18 |
| 1295251213 | Kashmia A Fanning | Social Worker | 4822 Albermarle Road, Charlotte, NC 28205 | 2017-08-22 |
| Find all providers in zip 28205 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1114927399 | Mercy Rossana Bayot Moore | Internal Medicine | 1918 Randolph Rd Ste 220, Suite 220, Charlotte, NC 28207-1109 | 2005-07-28 |
| 1518405257 | Carolinas Physicians Network Inc | Internal Medicine | 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 | 2017-02-02 |
| 1467900977 | Novant Medical Group, Inc | Internal Medicine | 330 Billingsley Rd, Suite 101, Charlotte, NC 28211-5020 | 2016-09-13 |
| 1245627991 | Nicolas Mungo | Internal Medicine | 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 | 2015-04-21 |
| 1487081063 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd, Bldg 3000 Suite 3301f, Charlotte, NC 28262-3485 | 2013-09-27 |
| 1053754341 | Carolinas Medical Center-northeast | Internal Medicine | 101 E Wt Harris Blvd, Bldg 3000, Suite 3301-f, Charlotte, NC 28262-7000 | 2013-04-17 |
| 1760724983 | Adva Tal Eisenberg | Internal Medicine | 1918 Randolph Rd Ste 220, Charlotte, NC 28207-1109 | 2013-03-26 |
| 1396007704 | Victoria Rollins | Internal Medicine | 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 | 2012-06-12 |
| 1992078901 | Francisco E Bautista Vitiello | Internal Medicine | 6060 Piedmont Row Dr S Fl 6, Charlotte, NC 28287-3884 | 2012-02-22 |
| 1992085971 | Novant Medical Group, Inc | Internal Medicine | 15825 Ballantyne Medical Place, Suite 220, Charlotte, NC 28277-3147 | 2011-08-23 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on DR. GODWIN OBINNA UZOMBA.
| 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.