Active NPI
Obinna Ezeamuzie
- Surgery Physician
- Nashville, TN
National Provider Identifier
1215184239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 125055332
- Practice address
- 3807 Cleghorn Ave Ste 901
Nashville, TN 37215-2549 - Phone
- (629) 777-8699
- NPI assigned
- Aug 20, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 125055332 | IL | Primary |
Addresses
Primary practice location
3807 Cleghorn Ave Ste 901
Nashville, TN 37215-2549
Mailing address
3172 Roswell Rd NW Apt 1503
Atlanta, GA 30305-2353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125055332 | IL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1215184239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3172 ROSWELL RD NW APT 1503",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303052353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3807 CLEGHORN AVE STE 901",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152549",
"telephone_number": "629-777-8699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZEAMUZIE",
"first_name": "OBINNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-20",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125055332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.