Erinma Onyekachi Ezeugwa

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704299407 Issued in MI

Practice address

46156 Woodward Ave
Pontiac, MI 48342-5033

Phone

(248) 322-6747

NPI assigned

Dec 20, 2016

Last updated

Nov 5, 2020By 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

Other names 1

• Erinma Onyekachi Obioha Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCBDCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Wellness Plan Medical Centers

  dba The Wellness Plan

  • Clinic/Center
  • Detroit, MI
  • NPI 1043373244
  Medicare reassignment NPD
• The Wellness Plan Medical Centers

  dba The Wellness Plan-Keys Grace Clinic

  • Federally Qualified Health Center (FQHC)
  • Madison Heights, MI
  • NPI 1114420353
  NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1245775683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46156 WOODWARD AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483425033",
            "telephone_number": "248-897-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46156 WOODWARD AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483425033",
            "telephone_number": "248-322-6747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Squirrel Rd",
            "address_2": "Apt 1604",
            "address_purpose": "LOCATION",
            "city": "Auburn Hills",
            "state": "MI",
            "postal_code": "483264015",
            "country_code": "US",
            "telephone_number": "248-251-2589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZEUGWA",
        "first_name": "ERINMA",
        "middle_name": "ONYEKACHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704299407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERINMA",
            "last_name": "OBIOHA",
            "middle_name": "ONYEKACHI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Evink, RD
• Express Care Medical Supply Inc
• Express Care Medical Supply Inc
• Express Health PC
• Brian Eyler, PA
• Sharanya Shre Ezhilarasan Santhi, MBBS
• Robert Faber, DO
• Kathleen Majella-Marie Fabian, D.O.
• Kaley Ann Fabus, OTR/L
• Fadi Salloum MD PC (Impact)

• Family Nurse Practitioner in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.