JENNIFER ENUKA OBIADI (NPI# 1922265529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922265529 |
| Entity Type | Individual |
| Full Name | JENNIFER ENUKA OBIADI |
| Credential | MD |
| Practice Address |
14207 Park Center Dr Suite 102 Laurel MD 20707 |
| Mailing Address |
9910 Franklin Square Dr # 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 3016045254 |
| Practice Fax Number | 4103672093 |
| Mailing Telephone | 4109335412 |
| Mailing Fax Number | 4109331390 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D68005 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14207 Park Center Dr, Suite 102, Laurel, MD 207075248 | 3016045254 | 4103672093 |
| Street Address |
14207 PARK CENTER DR SUITE 102 |
| City | LAUREL |
| State | MD |
| Zip Code | 20707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518917376 | Marcia Boyce Levi | Chiropractor | 14207 Park Center Dr, Suite 106, Laurel, MD 20707-5248 | 2006-05-11 |
| 1073133740 | Empowering Minds Resource Center | Case Management | 14207 Park Center Dr, Laurel, MD 20707-5248 | 2020-04-22 |
| 1518483304 | Nykol Wynn | Massage Therapist | 14207 Park Center Dr, Laurel, MD 20707-5248 | 2017-08-14 |
| 1710420625 | Thailong Tran Dds LLC | Clinic/Center | 14207 Park Center Dr, Ste 105, Laurel, MD 20707-5248 | 2016-11-25 |
| 1164813432 | Lori Lashen Spector, Dmd, LLC | Clinic/Center | 14207 Park Center Dr, Suite 105, Laurel, MD 20707-5248 | 2015-02-09 |
| 1316201536 | Thailong Bernard Tran | Dentist | 14207 Park Center Dr, Ste 105, Laurel, MD 20707-5248 | 2012-07-03 |
| 1093820888 | Optimal Care, LLC | Chiropractor | 14207 Park Center Dr, Suite 106, Laurel, MD 20707-5248 | 2006-08-20 |
| 1730127861 | Lori Lashen Spector | Dentist | 14207 Park Center Dr, #105, Laurel, MD 20707-5261 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1003203134 | Erica Nakajima | Internal Medicine | 323 Laurel Ave, Laurel, MD 20707-4319 | 2015-04-15 |
| 1124457726 | Mid-atlantic Medical | Internal Medicine | 9248 Stream View Ln, Laurel, MD 20723-1890 | 2013-11-04 |
| 1881966851 | Solomon Feyissa LLC | Internal Medicine | 14740 4th St, Apt 415, Laurel, MD 20707-3718 | 2012-02-06 |
| 1942468152 | Ratnakanth Mohanrao Siddabattula | Internal Medicine | 13504 Attleboro Ct, Apt # 21, Laurel, MD 20708-1557 | 2008-05-26 |
| 1255511655 | Rita Pabla Md | Internal Medicine | 13621 Baltimore Ave, Laurel, MD 20707-5095 | 2007-11-14 |
| 1477640696 | Laurel Medical Group, LLC | Internal Medicine | 1124 S Central Ave, Laurel, DE 19956-1418 | 2006-10-09 |
| 1740390012 | Syed Akbar Ali Sadiq | Internal Medicine | 14333 Laurel Bowie Road, Suite 208, Laurel, MD 20708-1179 | 2006-08-30 |
| 1215960703 | Abdul Munim | Internal Medicine | 8379 Cherry Ln, Laurel, MD 20707-4831 | 2006-07-08 |
| 1699722009 | Prema Siva | Internal Medicine | 8871 Gorman Rd Ste 300, Laurel, MD 20723-5877 | 2006-05-30 |
| 1497702302 | David L Harrison | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2006-05-27 |
| Find all providers in LAUREL | ||||
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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.