Benjamin Obiaks Nwoke, MD, MBA

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

105 Stone Village Dr
Fort Mill, SC 29708-6489

Phone

(803) 548-2610

NPI assigned

Sep 12, 2019

Last updated

Sep 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Medicine

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1639729551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STONE VILLAGE DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STONE VILLAGE DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086489",
            "telephone_number": "803-548-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKE",
        "first_name": "BENJAMIN",
        "middle_name": "OBIAKS",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novant Health Medical Group, LLC (Novant Health Bariatric Solutions-Stockbridge)
• Novant Health Prep II LLC (Surgical Specialists of Charlotte, a Novant Health network provider - Fort Mill)
• Novant Health, Inc. (Novant Health Red Ventures Wellness Center)
• Novant Medical Group, Inc. (Novant Health Fort Mill Family Medicine)
• Kenneth Edward Nunnery, MD
• Thomas H O'Reilly
• Heather Obrien, RBT
• Sharon Olang, DO
• Olive Oak Family Services, LLC
• Jordan Verlona Oliver, CCC-SLP

• Other Specialist/Technologist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Other Specialist/Technologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.