Samuel Chukwuma, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME49775 Issued in FL

Practice address

6401 N Federal Hwy
Imperial Point Ed
Ft Lauderdale, FL 33308-1405

Phone

(954) 776-8500

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1669468153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 SW 116TH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333254833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 N FEDERAL HWY",
            "address_2": "IMPERIAL POINT ED",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081405",
            "telephone_number": "954-776-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUMA",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME49775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CORE",
            "identifier": "03381",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.