Maryjoanne Chinyem Umeora, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E-10066 Issued in AR

Practice address

1150 E Matthews Ave
Ste 101
Jonesboro, AR 72401-4346

Phone

(870) 972-5437

Fax

(870) 934-3663

NPI assigned

Mar 22, 2013

Last updated

Oct 19, 2016By 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

• Dr. Mary Chinyem Nwaduba Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mumeora87029@direct.bmhcc.org

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.

• Northeast Arkansas Clinic Charitable Foundation, Inc

  dba NEA Baptist Urgent Care Plus

  • Urgent Care Clinic/Center
  • Jonesboro, AR
  • NPI 1922789676
  NPD (past)
• Northeast Arkansas Clinic Charitable Foundation, Inc.

  dba NEA Baptist Mobile Health Unit

  • Mobile Mammography Clinic/Center
  • Jonesboro, AR
  • NPI 1417721689
  NPD (past)
• Northeast Arkansas Clinic Charitable Foundation, Inc.

  dba NEA Baptist Clinic Anesthesia

  • Anesthesiology Physician
  • Jonesboro, AR
  • NPI 1992036032
  NPD (past)
• Pediatric Associates of Jonesboro, PLLC

  • Pediatrics Physician
  • Jonesboro, AR
  • NPI 1134121635
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1649512146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1960",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031960",
            "telephone_number": "870-972-5437",
            "fax_number": "870-934-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E MATTHEWS AVE",
            "address_2": "STE 101",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014346",
            "telephone_number": "870-972-5437",
            "fax_number": "870-934-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMEORA",
        "first_name": "MARYJOANNE",
        "middle_name": "CHINYEM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-10066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "NWADUBA",
            "middle_name": "CHINYEM",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dean A. Tyrer, D.D.S
• Tyson Dental Associates PLLC (Jonesboro Pediatric Dental Group)
• Summer Barker Tyson, D.D.S
• Benjamin B Ulibarri, PMHNP
• Deborah Ulibarri, LPN
• Ahmed Muaaz Umer, MBBS
• Michael L Ungerank, DC
• Unified Medical Equipment Solutions, Inc. (Unified Medical Equipment Solutions Jonesboro)
• Unique Path Counseling, PLLC
• United Methodist Behavioral Health System, Inc

• Pediatrics Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.