OBINNA I MADUKA (NPI# 1710065917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710065917 |
| Entity Type | Individual |
| Full Name | OBINNA I MADUKA |
| Other Name | OBINNA MADUKA |
| Credential | MD |
| Practice Address |
387 Tuckie Rd Ste C North Windham CT 06256-1355 |
| Practice Telephone | 8604561279 |
| Practice Fax Number | 8604561298 |
| Mailing Telephone | 8604561279 |
| Mailing Fax Number | 8604561298 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 037518 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001375189 | 05 |
| Street Address |
387 TUCKIE RD STE C |
| City | NORTH WINDHAM |
| State | CT |
| Zip Code | 06256-1355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780874776 | Windham Primary Care LLC | Pediatrics | 387 Tuckie Rd Ste C, North Windham, CT 06256-1355 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336249366 | Laura A Vodopivec | Optometrist | 494 Boston Post Rd, N Windham, CT 06256 | 2006-09-22 |
| 1295776656 | Total Renal Care Inc | Clinic/Center | 375 Tuckie Rd, Ste C, North Windham, CT 06256 | 2006-06-09 |
| 1427139823 | North Windham Eye Care, P.C. | Optometrist | 4 Industrial Park Drive, North Windham, CT 06256-1000 | 2006-10-18 |
| 1235216284 | David J. Hunyady, P.C. | Optometrist | 4 Industrial Park Drive, North Windham, CT 06256-1000 | 2006-11-01 |
| 1326065608 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 474 Boston Post Rd, North Windham, CT 06256-1052 | 2006-07-16 |
| 1649786435 | Kristen Lara Magnuson | Pharmacist | 474 Boston Post Rd, North Windham, CT 06256-1052 | 2017-12-17 |
| 1649628793 | Charlene Sirois | Technician/Technologist | 474 Boston Post Rd, North Windham, CT 06256-1052 | 2016-05-31 |
| 1821468661 | Suzanne E Ludwig | Pharmacist | 474 Boston Post Rd, North Windham, CT 06256-1052 | 2015-10-06 |
| 1609965938 | Wal-mart Stores East, Lp | Technician/Technologist | 474 Boston Post Rd, North Windham, CT 06256-1052 | 2006-10-12 |
| 1194821686 | Alfred Michael Blanchard | Optometrist | 474 Boston Post Rd, North Windham, CT 06256-1052 | 2006-09-15 |
| Find all providers in zip 06256 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514292 | Medical Center of East Hartford LLC | Pediatrics | 580 Burnside Ave Ste 2, East Hartford, CT 06108-3579 | 2020-07-01 |
| 1841856721 | Jutta Nemec | Pediatrics | 9 Meadow Pl, Old Greenwich, CT 06870-2114 | 2019-05-15 |
| 1396201307 | My Catholic Doctor, P.l.l.c. | Pediatrics | 711 Silvermine Rd, New Canaan, CT 06840-4329 | 2019-02-14 |
| 1710442694 | Staci Ruth Cicero | Pediatrics | 11 Crimmins Rd, Darien, CT 06820-5327 | 2019-02-05 |
| 1740760032 | Glastonbury Pediatrics | Pediatrics | 131 New London Tpke Ste 322, Glastonbury, CT 06033-2246 | 2018-08-16 |
| 1386158467 | Pm Pediatrics of Connecticut | Pediatrics | 1459 New Britain Ave, West Hartford, CT 06110-1659 | 2017-11-28 |
| 1366973679 | Jonathan Uhl | Pediatrics | 435 Highland Ave Ste 110, Cheshire, CT 06410-2583 | 2017-03-27 |
| 1801247861 | John Frederick Harper | Pediatrics | 175 Scott Swamp Rd, Farmington, CT 06032-3124 | 2016-06-30 |
| 1831540715 | Hilary Christina Hoffmeister | Pediatrics | 41 Jones Park Dr, Riverside, CT 06878-2205 | 2016-06-22 |
| 1811381726 | Jessica Weyman Tutolo | Pediatrics | 290 Western Blvd, Glastonbury, CT 06033-1236 | 2015-03-28 |
| Find all providers with the same taxonomy | ||||
| City | NORTH WINDHAM |
| Zip Code | 06256 |
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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.