DR. ULOMA CHINYERE IBEZIM (NPI# 1932768389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932768389 |
Entity Type | Individual |
Full Name | DR. ULOMA CHINYERE IBEZIM |
Credential | MD |
Practice Address |
1446 Harper St Augusta GA 30912-0012 |
Mailing Address |
941 Ellis St Apt 104 Augusta GA 30901-2235 |
Practice Telephone | 7067215437 |
Mailing Telephone | 8322155085 |
Enumeration Date | 2019-06-10 |
Last Update Date | 2019-06-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
11077 | GA | Allopathic & Osteopathic Physicians |
Street Address |
1446 HARPER ST |
City | AUGUSTA |
State | GA |
Zip Code | 30912-0012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942360680 | Susan B. Swoope | Physical Therapist | 1446 Harper St, Bt-c2902, Augusta, GA 30912-0012 | 2006-12-11 |
1730786641 | Shana Lorene Cox Jackson | Registered Nurse | 1446 Harper St, Augusta, GA 30912-0012 | 2020-10-04 |
1982229076 | Cory Barrows | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-06-15 |
1578188827 | Rhyan E Bingham | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-06-12 |
1205451424 | Joseph Craig Holjencin | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-06-12 |
1265057467 | Ashlyn Cox | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-06-12 |
1639794142 | Megan Ingley | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-06-10 |
1003431545 | Kristen Schmidbauer | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-06-10 |
1477178994 | Chaitanya Sambangi | Pediatrics | 1446 Harper St, Augusta, GA 30912-0012 | 2020-06-10 |
1770104283 | Sierra Jacquelynn Wineinger | Dietitian, Registered | 1446 Harper St, Augusta, GA 30912-0012 | 2020-05-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
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Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104040690 | Suzanne Margaret Strickland | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2007-04-13 |
1760582712 | Yong D. Park | Psychiatry & Neurology | 1120 15th Street, Augusta, GA 30912 | 2006-09-22 |
1215048269 | Elizabeth A. Sekul | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-31 |
1285744920 | James E. Carroll | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
1922053321 | Bernard L Maria | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2006-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376998096 | Coga Health | Psychiatry & Neurology | 139 Altama Connector, Pmb 316, Brunswick, GA 31525-1888 | 2016-05-02 |
1376961565 | Anna Wilson Bunker | Psychiatry & Neurology | 1086 1/2 Baxter St Ste A, Athens, GA 30606-6316 | 2014-04-03 |
1386819381 | Kohilavani Velayudam | Psychiatry & Neurology | 761 Walther Road, Suite 100, Lawrenceville, GA 30046 | 2008-04-30 |
1952575763 | Pierre Richard Fequiere | Psychiatry & Neurology | 705 17th St Ste 106, Columbus, GA 31901 | 2008-04-14 |
1609921881 | Asma Qureshi Fischer | Psychiatry & Neurology | 460 North Belair Rd, Evans, GA 30801 | 2007-01-25 |
1407910607 | South Georgia Neurological Associates, P.C. | Psychiatry & Neurology | 907 18th St E Ste 190, Tifton, GA 31794-3600 | 2006-12-21 |
1093884355 | Aijaz A Khalid | Psychiatry & Neurology | 170 Camden Hill Rd Ste A, Lawrenceville, GA 30045-7418 | 2006-11-08 |
1912978065 | Enrique J. Fernandez | Psychiatry & Neurology | 3226-c Hampton Avenue, Brunswick, GA 31520-4254 | 2006-01-27 |
1841677010 | Michelle Tutmaher | Psychiatry & Neurology | 1400 Tullie Rd Ne, Atlanta, GA 30329-2309 | 2015-04-27 |
1326470246 | Sonam Chandra Mhohan Bhalla | Psychiatry & Neurology | 1001 Johnson Fy Rd Ne, Atlanta, GA 30342-1605 | 2013-08-01 |
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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.