Chinyere I Ifechukwu

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0005129 Issued in MD

Practice address

13840 Castle Blvd
Apt. 203
Silver Spring, MD 20904-7384

Phone

(301) 890-0750

Fax

(301) 890-0750

NPI assigned

Mar 6, 2014

Last updated

Mar 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1073939658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13840 CASTLE BLVD",
            "address_2": "APT .203",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047384",
            "telephone_number": "301-890-0750",
            "fax_number": "301-890-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13840 CASTLE BLVD",
            "address_2": "APT. 203",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047384",
            "telephone_number": "301-890-0750",
            "fax_number": "301-890-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFECHUKWU",
        "first_name": "CHINYERE",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibss Corp
• Ican OT, L.L.C.
• Ongisa Ichile-McKenzie
• Zuwena Mohamed Iddi
• Folashade Omowunmi Idowu
• Uchechukwu Ifeji
• Bimpe M Igbenoba
• Adaiba Chinwe Igbo, RD/LDN
• Angela Igboko, CRNA
• Frederick Ignacio

• Physician Assistant in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.