Ernest A Nwani, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016-002936 Issued in IL

Practice address

409 N Western Ave
Peoria, IL 61606-1652

Phone

(309) 676-3668

Fax

(309) 676-3668

NPI assigned

Jan 3, 2007

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Footworld Medical Center

  • Podiatric Clinic/Center
  • Peoria, IL
  • NPI 1316532906
  NPD Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679620876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N WESTERN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061652",
            "telephone_number": "309-676-3668",
            "fax_number": "309-676-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N WESTERN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061652",
            "telephone_number": "309-676-3668",
            "fax_number": "309-676-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANI",
        "first_name": "ERNEST",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-002936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina B Nulty, M.D.
• William G Nulty, MD
• Carolyn M. Nunn, MSCCCSLP
• Jennifer Nurss Ullinskey
• Jodi Nutter, NP
• Claudia Yeah Dibouh Nyoh-Tabi, STUDENT
• Eilidh O'Brien
• Julie L O'Brien, APN, CNS
• Danielle O'Hare, MD
• Minna Jinn O'Leary, M.D.

• Foot & Ankle Surgery Podiatrist in Peoria, IL
• Providers in Peoria, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.