Chidimma Abanulo, MD, LLC

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

Legal business name

CHIDIMMA ABANULO, MD, LLC

Practice address

5289 NE Elam Young Pkwy Ste 150
Hillsboro, OR 97124-7551

Phone

(971) 353-4925

Fax

(971) 353-4926

NPI assigned

Aug 29, 2023

Organization subpart

No

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

Authorized official

Name

Chidimma Abanulo, MDNPI 1386955037

Title

Owner

Phone

(971) 353-4925

Specialties & licenses 2

Addresses

Other names 1

• Femme Flor Women's Pelvic Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chidimma Uche Abanulo, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Hillsboro, OR
  • NPI 1386955037
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica D Benedict, WHCNP

  • Women's Health Nurse Practitioner
  • Hillsboro, OR
  • NPI 1740542919
  Medicare reassignment Care Compare group NPD
• Tiffany Petterborg, PA-C

  • Physician Assistant
  • Hillsboro, OR
  • NPI 1457841397
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1336924166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5289 NE ELAM YOUNG PKWY STE 150",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247551",
            "telephone_number": "404-394-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5289 NE ELAM YOUNG PKWY STE 150",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247551",
            "telephone_number": "971-353-4925",
            "fax_number": "971-353-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIDIMMA ABANULO, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A",
        "authorized_official_last_name": "ABANULO",
        "authorized_official_first_name": "CHIDIMMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-353-4925",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Femme Flor Women's Pelvic Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Cherry Merideth, D.O.
• Katie Chesley
• Eric Chestolowski
• Yi Ling Dorcas Cheung, PHARMD
• Ujunwa Mercy Chibueze, PT
• Kelcey Chilcott, PNP-BC
• Hannah Childress
• Dev Chilson, PSY. D.
• Abraham Chimalpopoca
• Gary Chiotti, DPM

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; 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.