Charles Nwanguma, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

21991 Issued in WV

Practice address

601 Holden Rd
Logan Regional Cancer Center
Logan, WV 25601-3477

Phone

(304) 831-2500

NPI assigned

Feb 20, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Cumberland Pathology Associates PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Clarksville, TN
  • NPI 1568434256
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992840060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 BRAZOS SPRINGS DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798836",
            "telephone_number": "281-633-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HOLDEN RD",
            "address_2": "LOGAN REGIONAL CANCER CENTER",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013477",
            "telephone_number": "304-831-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANGUMA",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WV",
            "license": "21991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003029",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Hope Counseling
• Amanda New
• Halie Newsome, LPC
• Nicole Lackey Dillon, MD, Inc
• Okpani Martin Nnachi, MD
• Jennifer Marie O'Neal, PT, DPT
• Ohio Valley Physicians Inc
• Ohio Valley Physicians, Inc
• Joshua Richard Ooten
• Bessie Osborne

• Radiation Oncology Physician in Logan, WV
• Providers in Logan, WV by specialty
• Radiation Oncology Physician in West Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.