NPIMap

Organization Active NPI

Ifeanyichukwu Nwobodo MD LLC

  • Internal Medicine Physician
  • Aurora, CO
National Provider Identifier
1831510536
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0052107 Issued in CO
Legal business name
IFEANYICHUKWU NWOBODO MD LLC
Practice address
24974 E Glasgow Dr
Aurora, CO 80016-3111
Phone
(510) 427-8548
NPI assigned
Dec 23, 2013
Last updated
Apr 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Ifeanyichukwu Nwobodo, M.D.NPI 1497922074
Title
Owner
Phone
(510) 427-8548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0052107 CO Primary

Addresses

Primary practice location

24974 E Glasgow Dr
Aurora, CO 80016-3111

Mailing address

PO Box 462125
Aurora, CO 80046-2125
Phone (510) 427-8548

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1831510536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462125",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800462125",
            "telephone_number": "510-427-8548",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24974 E GLASGOW DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800163111",
            "telephone_number": "510-427-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFEANYICHUKWU NWOBODO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "NWOBODO",
        "authorized_official_first_name": "IFEANYICHUKWU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-427-8548",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0052107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.