Chineme Umunna Ezeigwe, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0003044 Issued in MD

Practice address

8106 Stayton Dr Ste D
Jessup, MD 20794-9615

Phone

(301) 725-5050

Fax

(301) 725-5111

NPI assigned

Feb 26, 2014

Last updated

Feb 26, 2014By 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

• Chineme Ezeigwe Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1649695701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 PATUXENT LANDING LOOP",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241975",
            "telephone_number": "240-882-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8106 STAYTON DR STE D",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207949615",
            "telephone_number": "301-725-5050",
            "fax_number": "301-725-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEIGWE",
        "first_name": "CHINEME",
        "middle_name": "UMUNNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHINEME",
            "last_name": "EZEIGWE",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kiumars Elyasi, D.D.S.
• Empowercare of Maryland LLC
• Evergreens Assisted Living
• Excellence in Care LLC
• Louisa Mpah Eya
• Family Care Pharmacy, Inc. (Jessup Care Pharmacy)
• Ayobami Fashina
• Fastcare Healthcare Solutions
• Oluwakemi Victoria Fatokimi, PMHNP-BC
• Nicole Marie Ford, LCSW-C

• Medical Physician Assistant in Jessup, MD
• Providers in Jessup, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.