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KENECHUKWU OFORDEME M.D. NPI 1639220213


NPI Information

NPI: 1639220213
Provider Name: KENECHUKWU OFORDEME, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
655 W 8TH ST # C506
CLINICAL CENTER, 1ST FLOOR
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-3837
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Kenechukwu Ofordeme, M.D. is an emergency medicine in Jacksonville, FL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Kenechukwu Ofordeme, M.D. NPI is 1639220213. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

655 W 8TH ST # C506
CLINICAL CENTER, 1ST FLOOR
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-3837
Fax: (904) 244-4508

The NPI 1639220213 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 8/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineTRN9215FLORIDANo
2207P00000XEmergency MedicineN1404TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18L4724MEDICARE OSCAR/CERTIFICATIONTEXAS
2P00690978MEDICARE OSCAR/CERTIFICATIONTEXAS
3202491101MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.