Okechi Nwadozi Nwabara (NPI# 1669456158, PAC ID# 5395736508) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1669456158 |
| PAC ID by PECOS | 5395736508 |
| Professional Enrollment ID | I20040518001077 |
| Full Name | Okechi Nwadozi Nwabara |
| Organization Legal Name | EDGEWATER SYSTEMS FOR BALANCED LIVING INC. |
| Address |
1100 W 6th Ave Edgewater Beh Hlth Services Gary IN 46402-1711 |
| Phone Number | 2198812466 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9234398397 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150002 | METHODIST HOSPITALS INC |
| 150008 | ST CATHERINE HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 1100 W 6th Ave, Edgewater Beh Hlth Services, Gary, IN 46402-1711 | 2198812466 | EDGEWATER SYSTEMS FOR BALANCED LIVING INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 97% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 97% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 99% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 97% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 97% |
| Organization Legal Name | EDGEWATER SYSTEMS FOR BALANCED LIVING INC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Doris Fandohan | Nurse Practitioner | Edgewater Systems for Balanced Living Inc. | 3535 Broadway, Gary, IN 46409-1316 |
| Pamela V Tran | Psychiatry | Edgewater Systems for Balanced Living Inc. | 1100 W 6th Ave, Edgewater Beh Hlth Services, Gary, IN 46402-1711 |
| Bianca Chatman | Nurse Practitioner | Edgewater Systems for Balanced Living Inc. | 3535 Broadway, Gary, IN 46409-1316 |
| Mathew V Castelino | Psychiatry | Edgewater Systems for Balanced Living Inc. | 1100 W 6th Ave, Edgewater Beh Hlth Services, Gary, IN 46402-1711 |
| Edith A Jenkins | Nurse Practitioner | Edgewater Systems for Balanced Living Inc. | 1100 W 6th Ave, Edgewater Beh Hlth Services, Gary, IN 46402-1711 |
| Street Address |
1100 W 6TH AVE EDGEWATER BEH HLTH SERVICES |
| City | GARY |
| State | IN |
| Zip | 46402-1711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela V Tran | Psychiatry | Edgewater Systems for Balanced Living Inc. | 1100 W 6th Ave, Edgewater Beh Hlth Services, Gary, IN 46402-1711 |
| Mathew V Castelino | Psychiatry | Edgewater Systems for Balanced Living Inc. | 1100 W 6th Ave, Edgewater Beh Hlth Services, Gary, IN 46402-1711 |
| Edith A Jenkins | Nurse Practitioner | Edgewater Systems for Balanced Living Inc. | 1100 W 6th Ave, Edgewater Beh Hlth Services, Gary, IN 46402-1711 |
| Germaine Henderson | Nurse Practitioner | Edgewater Systems for Balanced Living, Inc. | 1100 W 6th Ave, Edgewater Beh Hlth Services, Gary, IN 46402-1711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lashawn D Freeman | Podiatry | 201 E 5th Ave, Suite A, Gary, IN 46402-1300 | |
| Janet Seabrook | Emergency Medicine | Community Healthnet Inc | 1021 W 5th Ave, Gary Comm Health Center, Gary, IN 46402-1703 |
| Valerie Jean Royal | Nurse Practitioner | Community Healthnet Inc | 1021 W 5th Ave, Gary Comm Health Center, Gary, IN 46402-1703 |
| Milton Armston Jr. | Psychologist, Clinical | Community Healthnet Inc | 1021 W 5th Ave, Gary Comm Health Center, Gary, IN 46402-1703 |
| Lynn Miskovich | Nurse Practitioner | Community Healthnet Inc | 1021 W 5th Ave, Gary Comm Health Center, Gary, IN 46402-1703 |
| Adaobi Ogonuwe | Nurse Practitioner | Community Healthnet Inc | 1021 W 5th Ave, Gary Comm Health Center, Gary, IN 46402-1703 |
| Leahdon L Staples | Certified Nurse Midwife (cnm) | Community Healthnet Inc | 1021 W 5th Ave, Gary Comm Health Center, Gary, IN 46402-1703 |
| Bayne W Spotwood | Family Practice | Community Healthnet Inc | 1021 W 5th Ave, Gary Comm Health Center, Gary, IN 46402-1703 |
| Justin W Kucsera | Optometry | Robert W Moses Od Professional Corporation | 701 W 5th Ave, Moses Eyecare Centers, Gary, IN 46402-1807 |
| Angela Fauth | Optometry | Robert W Moses Od Professional Corporation | 701 W 5th Ave, Moses Eyecare Centers, Gary, IN 46402-1807 |
| Find all physicians in zip 46402 | |||
| City | GARY |
| Zip Code | 46402 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GARY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Okechi Nwadozi Nwabara.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.