KYRIAN C OBIDIEGWU (NPI# 1891309688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891309688 |
| Entity Type | Individual |
| Full Name | KYRIAN C OBIDIEGWU |
| Practice Address |
2021 Herndon Ave # 101 Clovis CA 93611-6316 |
| Mailing Address |
Po Box 25639 Fresno CA 93729-5639 |
| Practice Telephone | 5108618246 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2021 HERNDON AVE # 101 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-6316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821371022 | Erick Joseph Green Jr. | Family Medicine | 2021 Herndon Ave # 101, Clovis, CA 93611-6101 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678543 | Charla Marie Dunn | Physician Assistant | 701 Arizona St Ste A, Clovis, NM 88101-2110 | 2020-01-14 |
| 1689110066 | Tasha R Cockrum | Physician Assistant | 729 N Medical Center Dr W Ste 101, Clovis, CA 93611-6880 | 2017-01-10 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1851739106 | Jennifer Anne Dobrinen | Physician Assistant | 964 N Bush Ave, Clovis, CA 93611-7125 | 2013-06-10 |
| 1184871113 | Jessica Rodriguez Ohanesian | Physician Assistant | 2755 Herndon Ave., Clovis, CA 93611-0000 | 2008-08-21 |
| 1518004308 | Tony Reid | Physician Assistant | 255 W Bullard Ave Ste 109, Clovis, CA 93612-0861 | 2007-01-31 |
| 1407965478 | Patricia Lynn Bartel | Physician Assistant | 221 W Fir Ave Ste 101, Clovis, CA 93611 | 2006-08-30 |
| 1255375903 | Charles Daniel Otero | Physician Assistant | 701 Arizona St, Suite A, Clovis, NM 88101-2110 | 2006-06-15 |
| 1902865066 | Rajib Das | Physician Assistant | 1934 N Whiteash Ave, Clovis, CA 93619-9509 | 2006-03-18 |
| 1477178184 | Morgan Brooke Kelly | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2020-06-09 |
| Find all providers in CLOVIS | ||||
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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.