LEONARD C. EGBUJIOBI


Address: 1969 West Hart Road, Beloit Memorial Hospital, Beloit, WI 53511
Phone: 6083642200

LEONARD C. EGBUJIOBI (NPI# 1972679355) 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) 1972679355
Entity Type Individual
Full Name LEONARD C. EGBUJIOBI
Credential M.D.
Practice Address 1969 West Hart Road
Beloit Memorial Hospital
Beloit
WI 53511
Mailing Address 1905 E. Huebbe Parkway
Beloit Health System Inc
Beloit
WI 53511-1842
Practice Telephone 6083642200
Practice Fax Number 6083637377
Mailing Telephone 6083642200
Mailing Fax Number 6083637377
Enumeration Date 2006-11-28
Last Update Date 2011-10-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
30790-020 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 1972679355 05
DEAN HEALTH PLAN 10798 01

Office Location

Street Address 1969 WEST HART ROAD
BELOIT MEMORIAL HOSPITAL
City BELOIT
State WI
Zip Code 53511

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053329714 George T Jones Internal Medicine 1969 West Hart Road, Beloit Health System / Beloit Memorial Hospital, Beloit, WI 53511 2006-08-04
1104903061 Tammy Jo Boxleitner Nurse Practitioner 1969 West Hart Road, Beloit Memorial Hospital, Inc., Beloit, WI 53511-2298 2006-10-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730738485 Linda Lee Cook Technician 914 Cranston Rd., Beloit, WI 53511 2019-09-05
1033773734 Holistic Counseling Services, LLC Counselor 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 2019-04-28
1578073870 Bonita May Cooke Counselor 838 Grant St., Beloit, WI 53511 2017-10-02
1679091219 Stacy Lynn Gallagher Licensed Practical Nurse 1060 Bittel St, Beloit, WI 53511 2017-09-04
1629448824 Brenda Jean Allen Registered Nurse 2907 E. Leona Drive, Beloit, WI 53511 2015-09-30
1033595038 Amber Noel Slaybaugh Physical Therapist 838 E. Azalea Ter., Beloit, WI 53511 2015-08-03
1407260326 Quirt Family Dentistry, Sc Dentist 2777 Milwaukee Rd, Beloit, WI 53511 2014-06-18
1821436973 Raymond K Spade Counselor 2240 Prairie Ave., Beloit, WI 53511 2013-06-11
1629321658 Sarah Ann Nelson Physical Therapist 1905 W. Hart Road, Beloit, WI 53511 2012-10-15
1235494212 Mary Ann Hudson Nurse Practitioner 700 College Street, Beloit College, Beloit, WI 53511 2012-07-06
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780693150 Roger G Lim Internal Medicine 1905 Huebbe Pkwy, Beloit, WI 53511-1842 2006-08-05
1184632127 Maria E Taveras Internal Medicine 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 2006-08-04
1477597110 Nadine V.l. Thomas Internal Medicine 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 2006-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215414727 Telemedico Physicians of Wisconsin Sc Internal Medicine 301 S Bedford St Ste 1, Madison, WI 53703-3691 2018-07-26
1649682667 James King Internal Medicine 4540 S Sommerset Dr, New Berlin, WI 53151-6876 2014-05-26
1548686470 Cullinane Cardiovascular Consultants, Sc Internal Medicine 317 N Lake Rd, Oconomowoc, WI 53066-7101 2014-03-17
1235492455 David James Coulter Internal Medicine 2025 W Oklahoma Ave Ste 105, Milwaukee, WI 53215-4455 2012-06-21
1619234937 Daniel R Harland Internal Medicine 2801 W Kinnickinnic River Pkwy Ste 880, Milwaukee, WI 53215-3678 2012-04-12
1295053106 Setu D Trivedi Internal Medicine 10400 75th St Ste 212, Kenosha, WI 53142 2010-05-17
1336467554 Expert Care Inc Internal Medicine 1111 E Sumner St, Suite A, Hartford, WI 53027-1609 2010-05-12
1548582547 Moe Zafarani Internal Medicine 3215 W Lawrence St Ste 3, Appleton, WI 54914-4274 2010-02-18
1073844932 James Harry Thomsen Internal Medicine 7709 Twinflower Dr, Madison, WI 53719-4544 2010-01-15
1740419019 Thomas James Karras Internal Medicine 212 S Turtle Bay, Elkhart Lake, WI 53020-1985 2009-07-08
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Competitor

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City BELOIT
Zip Code 53511

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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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