Individual provider Active NPI

Ifeyinwa N Nwankwor, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Winston Salem, NC
National Provider Identifier
1285947135
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Wake Forest School of Medicine
Dept of Pediatrics, Medical Center Blvd
Winston Salem, NC 27157-1081
Phone
(336) 716-4663
Fax
(336) 716-2525
NPI assigned
Jul 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Wake Forest School of Medicine
Dept of Pediatrics, Medical Center Blvd
Winston Salem, NC 27157-1081

Mailing address

Wake Forest School of Medicine
Dept of Pediatrics, Medical Center Blvd
Winston Salem, NC 27157-1081
Phone (336) 716-4663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20180419001113 PA Practitioner - Pediatric Medicine 3971743006 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Mar 11, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 11, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

201 State St
Erie, PA 16550
Phone (814) 877-2137

300 Halket St
#5600
Pittsburgh, PA 15213
Phone (412) 641-5164

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1285947135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WAKE FOREST SCHOOL OF MEDICINE",
            "address_2": "DEPT OF PEDIATRICS, MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271571081",
            "telephone_number": "336-716-4663",
            "fax_number": "336-716-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAKE FOREST SCHOOL OF MEDICINE",
            "address_2": "DEPT OF PEDIATRICS, MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271571081",
            "telephone_number": "336-716-4663",
            "fax_number": "336-716-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANKWOR",
        "first_name": "IFEYINWA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.