Christie U Egbuchunam MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M2313 Issued in TX

Legal business name

CHRISTIE U EGBUCHUNAM MD PA

Doing business as

Regency Healing Medical Clinic

Practice address

305 Regency Pkwy
Suite 509
Mansfield, TX 76063-3794

Phone

(817) 453-2323

Fax

(817) 453-2322

NPI assigned

Nov 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Christie U Egbuchunam, MDNPI 1053337709

Title

Physician/Owner

Phone

(817) 453-2323

Specialties & licenses 1

Addresses

Other names 1

• Regency Healing Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christie U. Egbuchunam, MD

  • Family Medicine Physician
  • Mansfield, TX
  • NPI 1053337709
  Medicare reassignment NPD Authorized official
• Doris Nwamaka Ejimadu

  • Family Nurse Practitioner
  • Mansfield, TX
  • NPI 1902468218
  NPD
• Loretta Wall, DNP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1851879761
  NPD (past)

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1770884603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 REGENCY PKWY",
            "address_2": "SUITE 509",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633794",
            "telephone_number": "817-453-2323",
            "fax_number": "817-453-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 REGENCY PKWY",
            "address_2": "SUITE 509",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633794",
            "telephone_number": "817-453-2323",
            "fax_number": "817-453-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE U EGBUCHUNAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "EGBUCHUNAM",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "817-453-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Healing Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kangwa Chisanga
• Benard Choi
• Binna Manojkumar Chokshi, M.D.
• Brooke Choudhury, DPT
• Heather Ann Christ, LPC
• Zhantia A Chrystal
• Ricardo Chujutalli, MD
• Abraham Chukwu, MD
• Lilian Mokeira Chuma, FNP-C
• Olivia Donata Ciccone, PA-C

• Family Medicine Physician in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.