DR. CHIGOZIE EBELENNA MORONU (NPI# 1962740183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962740183 |
| Entity Type | Individual |
| Full Name | DR. CHIGOZIE EBELENNA MORONU |
| Credential | M.D |
| Practice Address |
820 Prudential Dr Ste 304 Jacksonville FL 32207-8205 |
| Mailing Address |
Po Box 45443 Salt Lake City UT 84145-0443 |
| Practice Telephone | 9042023860 |
| Practice Fax Number | 9042023846 |
| Mailing Telephone | 9042021032 |
| Mailing Fax Number | 9043764107 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2020-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME143340 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 0101253722 | VA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | ME143340 | FL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 0101253722 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1962740183 | 05 |
| Street Address |
820 PRUDENTIAL DR STE 304 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174212 | Marius Laurinaitis | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2005-06-20 |
| 1205327228 | Tony David Echols | Nurse Practitioner | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2018-05-24 |
| 1174049340 | Oscar A Milian Cardoso | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-08-18 |
| 1265953905 | Tryphene Saint-phard | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-07-03 |
| 1144759424 | David Samuel Kornblum | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-06-08 |
| 1568990190 | Reem Itani | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-05-26 |
| 1538691183 | Joanne Bartley | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-04-03 |
| 1558893818 | Rhumit Patel | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-03-28 |
| 1730610213 | Unnati Wardan | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-03-25 |
| 1831620392 | Hamel J Patel | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831490432 | Wallace Thomas | Hospitalist | 1701 San Pablo Rd S, 1213, Jacksonville, FL 32224-2088 | 2010-11-12 |
| 1508817529 | Baptist Primary Care Inc | Hospitalist | 3563 Philips Hwy Ste 106a, Jacksonville, FL 32207-5663 | 2006-05-15 |
| 1972585081 | Nasrullah Ghafoor | Hospitalist | 4466 Swilcan Bridge Ln N, Jacksonville, FL 32224-5617 | 2005-11-15 |
| 1831584473 | Mario Cisneros | Hospitalist | 653 W 8th St # L18, Jacksonville, FL 32209-6511 | 2015-03-31 |
| 1205220555 | Jorge Miguel Trabanco | Hospitalist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2015-03-25 |
| 1437583572 | Kaley Jo Azar | Hospitalist | 807 Childrens Way, Jacksonville, FL 32207 | 2013-08-26 |
| 1952733719 | Michael Smerina | Hospitalist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2013-08-05 |
| 1235573882 | Priyanka Vijapura | Hospitalist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2013-04-25 |
| 1629336060 | Gautam Matcha | Hospitalist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2012-04-23 |
| 1326327651 | Karthik Gnanapandithan | Hospitalist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2011-08-04 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.