Chika Iheoma Chukwu, MD, MSC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

CHUK-01N2MQ Issued in NC

Practice address

301 E Wendover Ave Ste 400
Greensboro, NC 27401-1207

Phone

(336) 832-3150

Fax

(336) 832-3152

NPI assigned

May 13, 2021

Last updated

May 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1154995306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PEDIATRIC EDUCATION OFFICE CAMPUS BOX 7593",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997593",
            "telephone_number": "919-966-3172",
            "fax_number": "919-966-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE STE 400",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011207",
            "telephone_number": "336-832-3150",
            "fax_number": "336-832-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWU",
        "first_name": "CHIKA",
        "middle_name": "IHEOMA",
        "credential": "MD, MSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "CHUK-01N2MQ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Christy, PHARMD
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• Jami Brooke Chrzanowski, NP
• William Chu
• Casey Christopher Chubb, MD
• Charlotte Anne Chun, M.A., M.S.
• Phoebe Um Chun, MD
• Rebecca Wing CHI Chung, OD
• Cody Lee Church, LAT, ATC
• Jeanie Spence Church, RN

• Student in an Organized Health Care Education/Training Program in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.