Active NPI
Praise Omenogor Nwachukwu-Akuna, MD
- Family Medicine Physician
- Huntington, WV
National Provider Identifier
1043995095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36456
- Practice address
- 3075 US Route 60 Ste A110
Huntington, WV 25705-8859 - Phone
- (304) 528-4600
- Fax
- (304) 528-4624
- NPI assigned
- Jun 19, 2023
- Last updated
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36456 | WV | Primary |
Addresses
Primary practice location
3075 US Route 60 Ste A110
Huntington, WV 25705-8859
Mailing address
1448 10TH Ave Ste 304
Huntington, WV 25701-3579
Other names 1
- Praise Omenogor Nwachukwu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT229595 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Marys Medical Center, Inc. | Past | Accepting new patients | |
| St. Mary's Himg, LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Mary's Medical Center
- Internal Medicine Physician
- Huntington, WV
- NPI 1104681485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1043995095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1448 10TH AVE STE 304",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013579",
"fax_number": "304-691-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 US ROUTE 60 STE A110",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257058859",
"telephone_number": "304-528-4600",
"fax_number": "304-528-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWACHUKWU-AKUNA",
"first_name": "PRAISE",
"middle_name": "OMENOGOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-19",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "36456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRAISE",
"last_name": "NWACHUKWU",
"middle_name": "OMENOGOR",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.