Peter Nwankwo, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2023002881 Issued in MO

Practice address

916 Olive St
Saint Louis, MO 63101-1400

Phone

(314) 436-9300

NPI assigned

Jun 12, 2023

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: peter.nwankwo.1@18357.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2023.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1114601010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 BROOKVILLE DR APT 6",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631254619",
            "telephone_number": "662-374-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 OLIVE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631011400",
            "telephone_number": "314-436-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANKWO",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2023002881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuzum in Home LLC
• Thomas Robert Nuzum, P.T.
• Adora Chinenye Nwankwo, MD
• Chidimma Nwankwo
• Christian C Nwankwo, MD
• Ugonna Thomas Nwankwo, MD
• Margaret Chinyere Nwaobasi, RN MSN
• Ifeanyi Nwaokolo
• Ijeoma Carol Nwelue, M.D.
• Eberechi Nkele Nwogu-Onyemkpa, MD

• All providers in Saint Louis, MO
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.