Uche N Obisike (NPI# 1265465884, PAC ID# 9739182148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1265465884 |
PAC ID by PECOS | 9739182148 |
Professional Enrollment ID | I20061011000715 |
Full Name | Uche N Obisike |
Organization Legal Name | GENESIS PHYSICIAN ASSOCIATES LLC |
Address |
9201 Montgomery Blvd Ne Suite 301 Albuquerque NM 87111-2467 |
Phone Number | 5055038714 |
Gender | M |
Credential | MD |
Graduation Year | 1992 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | GERIATRIC MEDICINE, PEDIATRIC MEDICINE |
Group Practice PAC ID | 1456525021 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
320005 | SAN JUAN REGIONAL MEDICAL CENTER |
320009 | LOVELACE MEDICAL CENTER |
320017 | LOVELACE WOMEN'S HOSPITAL |
Address | Phone | Organization |
---|---|---|
4701 Montgomery Blvd Ne, Lovelace Womens Hospital, Albuquerque, NM 87109-1219 | 5052727800 | SOUTHWEST MEDICAL ASSOCIATES, LLC |
9201 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87111-2467 | 5055038714 | GENESIS PHYSICIAN ASSOCIATES LLC |
4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818 | 5054362671 | GENESIS PHYSICIAN ASSOCIATES LLC |
801 W Maple St, San Juan Regional Medical Center, Farmington, NM 87401-5630 | 5056092000 | GENESIS PHYSICIAN ASSOCIATES LLC |
Organization Legal Name | GENESIS PHYSICIAN ASSOCIATES LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edmund W Mcnally | Physician Assistant | Genesis Physician Associates LLC | 4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818 |
Swayzee Lei Ramage | Nurse Practitioner | Genesis Physician Associates LLC | 4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818 |
Street Address |
9201 MONTGOMERY BLVD NE SUITE 301 |
City | ALBUQUERQUE |
State | NM |
Zip | 87111-2467 |
Name | Specialty | Organization | Address |
---|---|---|---|
Niki M Ninopoulos | Physician Assistant | High Desert Dermatology PC | 12241 Academy Nerd, Suite 204, Albuquerque, NM 87111 |
Zachary Haas | Podiatry | Albuquerque Associated Podiatrists | 8080 Academy Blvd Ne, Suite C, Albuquerque, NM 87111 |
Stephanie S Gonzales | Physician Assistant | High Desert Dermatology PC | 12241 Academy Nerd, Suite 204, Albuquerque, NM 87111 |
Matthew D Cobb | Podiatry | Albuquerque Associated Podiatrists | 8080 Academy Blvd Ne, Suite C, Albuquerque, NM 87111 |
John Carey | Dermatology | High Desert Dermatology PC | 12241 Academy Nerd, Suite 204, Albuquerque, NM 87111 |
Mark Haas | Podiatry | Albuquerque Associated Podiatrists | 8080 Academy Blvd Ne, Suite C, Albuquerque, NM 87111 |
Emily J Bryl | Physician Assistant | High Desert Dermatology PC | 12241 Academy Nerd, Suite 204, Albuquerque, NM 87111 |
Sonja M Strack | Clinical Social Worker | Formation Counseling Services Inc | 8600 Academy Rd Ne, Albuquerque, NM 87111-1107 |
Alicia D Holder | Clinical Social Worker | Formation Counseling Services Inc | 8600 Academy Rd Ne, Albuquerque, NM 87111-1107 |
Don C Woods | Clinical Social Worker | Formation Counseling Services Inc | 8600 Academy Rd Ne, Albuquerque, NM 87111-1107 |
Find all physicians in zip 87111 |
City | ALBUQUERQUE |
Zip Code | 87111 |
Specialty | INTERNAL MEDICINE |
City + Specialty | ALBUQUERQUE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Uche N Obisike.
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.