DR. OBINNA CHUKWUDI IGWILO


Address: 7300 S Raeford Rd Rm 2528, Fayetteville, NC 28304-6162
Phone: 9104756373

DR. OBINNA CHUKWUDI IGWILO (NPI# 1790954352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790954352
Entity Type Individual
Full Name DR. OBINNA CHUKWUDI IGWILO
Credential M.D.
Practice Address 7300 S Raeford Rd Rm 2528
Fayetteville
NC 28304-6162
Mailing Address Po Box 87126
Fayetteville
NC 28304-7126
Practice Telephone 9104756373
Mailing Telephone 9104262224
Mailing Fax Number 9108262228
Enumeration Date 2008-02-27
Last Update Date 2019-08-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 200100381 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 89128RX 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1220 Walter Reed Rd, Suite 102, Fayetteville, NC 283044430 9104262224

Office Location

Street Address 7300 S RAEFORD RD RM 2528
City FAYETTEVILLE
State NC
Zip Code 28304-6162

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301061 Coast To Coast Bilingual Counseling Social Worker 910 Hope Mills Road, Fayetteville, NC 28304 2019-11-20
1811530561 Frances L. Hurst Technician 6732 Carloway Dr, Fayetteville, NC 28304 2019-10-25
1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164763918 Cynthia J Amram Surgery 3015 E Joyce Blvd, Fayetteville, AR 72703-4526 2013-03-04
1275844177 Yana Mikhaylov Surgery 4140 Ferncreek Dr Ste 601, Fayetteville, NC 28314-2569 2010-06-24
1043541725 Janine Nicole Pettiford Surgery 325 North Jeff Davis Dr, Fayetteville, GA 30214 2010-01-20
1548410103 Erin M King Surgery 1260 Highway 54 W Ste 100, Fayetteville, GA 30214-4513 2008-09-19
1881851699 Timothee J Friesen Surgery 1265 Highway 54 W Ste 309, Fayetteville, GA 30214-4537 2008-05-20
1942387055 Steven Anthony Battaglia Surgery 1061 Brunswick Dr, Fayetteville, OH 45118 2006-11-01
1225118441 David Crump Surgery 108 Medical Center Blvd Ste G25, Fayetteville, TN 37334-2741 2006-10-16
1265544035 Yong S Kwon Surgery 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 2006-08-31
1346261989 Rudy Theodore Cobb Surgery 305 College St W, Fayetteville, TN 37334-2911 2006-07-21
1790713675 Joshua E Roller Surgery 1280 E Stearns St, Suite 5, Fayetteville, AR 72703-6241 2006-06-29
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Competitor

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City FAYETTEVILLE
Zip Code 28304

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Dataset Information

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.

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