Achebe MD PS

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00042897 Issued in WA

Legal business name

ACHEBE MD PS

Practice address

1016 Tacoma Ave
Sunnyside, WA 98944-2263

Phone

(509) 837-1500

NPI assigned

Mar 6, 2014

Organization subpart

No

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

Authorized official

Name

Ngozi J Achebe, M.D.NPI 1053320309

Title

Owner

Phone

(360) 239-9515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ngozi Achebe

  • Internal Medicine Physician
  • Olympia, WA
  • NPI 1053320309
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1245656883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 HARRISON AVE NW",
            "address_2": "#2616",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022636",
            "telephone_number": "360-239-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 TACOMA AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442263",
            "telephone_number": "509-837-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHEBE MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "ACHEBE",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-239-9515",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00042897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amma Serwaa Ababio
• Suleyma Elizabeth Abrams, SUDPT
• Diane Colleen Affholter, LMP
• Amier Ahmad, MD
• John W Allen, D.O.
• Elizabeth Ambrocio
• Esmeralda Chavez Anderson, ARNP

• Internal Medicine Physician in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.