DR. CHUKWUKADIBIA J ODUNUKWE (NPI# 1992778831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992778831 |
| Entity Type | Individual |
| Full Name | DR. CHUKWUKADIBIA J ODUNUKWE |
| Credential | M.D. |
| Practice Address |
5604 Sw Lee Blvd Suite 210 Lawton OK 73505-9681 |
| Mailing Address |
Po Box 8679 Belfast ME 04915-8679 |
| Practice Telephone | 5805316462 |
| Practice Fax Number | 5805316426 |
| Mailing Telephone | 5805316465 |
| Mailing Fax Number | 5805316426 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2011-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 23714 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE RAILROAD | P00769476 | 01 |
| OK | 1123714 | 05 |
| Street Address |
5604 SW LEE BLVD SUITE 210 |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-9681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689669905 | David M Pagnanelli | Neurological Surgery | 5604 Sw Lee Blvd, Suite 357, Lawton, OK 73505-9681 | 2005-09-13 |
| 1952582900 | Lawton Family Practice & Allergy Clinic | Family Medicine | 5604 Sw Lee Blvd, Suite 245, Lawton, OK 73505-9681 | 2007-11-19 |
| 1558588616 | Erlan Duus M.d. Pllc | Surgery | 5604 Sw Lee Blvd, Ste 310, Lawton, OK 73505-9681 | 2007-04-19 |
| 1669481438 | Erlan C Duus | Plastic Surgery | 5604 Sw Lee Blvd, Suite 310, Lawton, OK 73505-9681 | 2006-08-07 |
| 1215952023 | The Breast Center | Clinic/Center | 5604 Sw Lee Blvd, Suite 150, Lawton, OK 73505-9681 | 2006-07-13 |
| 1477595924 | Southwestern Neurosurgery Physicians LLC | Psychiatry & Neurology | 5604 Sw Lee Blvd, Suite 357, Lawton, OK 73505-9681 | 2006-06-11 |
| 1700853801 | Behrooz Tohidi | Orthopaedic Surgery | 5604 Sw Lee Blvd, Suite 210, Lawton, OK 73505-9663 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285651232 | Comanche County Healthcare | Surgery | 2716 W Gore Blvd, Suite C, Lawton, OK 73505 | 2006-07-16 |
| 1144227273 | Prabhudas Khodidas Patel | Surgery | 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 | 2005-07-05 |
| 1508474792 | Lawton General Surgery PC | Surgery | 3414 Nw Cache Rd Ste F, Lawton, OK 73505-3878 | 2020-07-14 |
| 1134567548 | Natalie Banks Grisham | Surgery | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2013-06-07 |
| 1467736769 | Lawton General Surgery Clinic | Surgery | 3805 W Gore Blvd, Suite 4, Lawton, OK 73505-6334 | 2011-10-05 |
| 1538209036 | Daniel L Morgan | Surgery | 110 Nw 31st, 3rd Floor, Lawton, OK 73505 | 2007-02-07 |
| 1841218401 | Comanche County Healthcare Corporation | Surgery | 110 Nw 31st St, Lawton, OK 73505-6100 | 2006-07-18 |
| 1528054822 | Elissa J Hunter | Surgery | 110 Nw 31st St, 3rd Floor, Lawton, OK 73505-6100 | 2005-09-22 |
| 1407852718 | Jaime Buenaventura Pilar | Surgery | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702127 | Advanced Surgical Assisting, LLC | Surgery | 4012 E 108th St, Tulsa, OK 74137-6707 | 2020-05-20 |
| 1639642655 | Okc Surgicalists Pllc | Surgery | 4140 W Memorial Rd Ste 408, Oklahoma City, OK 73120-8300 | 2019-01-03 |
| 1376016329 | Oklahoma Acute Care Surgical Specialists LLC | Surgery | 4016 E 27th St, Tulsa, OK 74114-5908 | 2019-01-02 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1588107957 | Elias Cardiovascular Disease Pllc | Surgery | 1104 E State Highway 152 Unit 2, Mustang, OK 73064-5116 | 2016-12-02 |
| 1831540608 | Eric Waetjen | Surgery | 4502 E 51st St, 2g06, Tulsa, OK 74135-3702 | 2016-06-23 |
| 1811381247 | Mohamad Sidani | Surgery | 800 Stanton L Young Blvd # 9432, Oklahoma City, OK 73104-5018 | 2015-03-24 |
| 1336554880 | Alex Jones | Surgery | 500 E Robinson St Ste 1300, Norman, OK 73071-6694 | 2014-06-24 |
| 1396159596 | Paul Mcgaha II | Surgery | 10920 Sw 30th Ter, Yukon, OK 73099-0435 | 2014-06-16 |
| 1154747053 | Haley Adams | Surgery | 115 W 13th St, Grove, OK 74344-3224 | 2014-03-15 |
| Find all providers with the same taxonomy | ||||
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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.