DOMINIC NCHAMUKONG (NPI# 1538712484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538712484 |
| Entity Type | Individual |
| Full Name | DOMINIC NCHAMUKONG |
| Gender | Male |
| Practice Address | 4646 Hilton Corporate Dr Columbus OH 43232 |
| Practice Telephone | 6146366290 |
| Mailing Telephone | 6146366290 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner Specialization: Psych/Mental Health | 193400000X SINGLE SPECIALTY GROUP | 025186 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address | 4646 HILTON CORPORATE DR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962050187 | Bebongchu Nkemasong | Nurse Practitioner · Psych/Mental Health | 4646 Hilton Corporate Dr, Columbus, OH 43232 | 2019-08-30 |
| 1033693569 | Mount Carmel Behavioral Healthcare, LLC · Mount Carmel Behavioral Healthcare | Psychiatric Hospital | 4646 Hilton Corporate Drive, Columbus, OH 43232 | 2018-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770171340 | Caitlyn Diane Meek | Technician · Personal Care Attendant | 674 S Warren Ave, Columbus, OH 43204-2957 | 2021-01-08 |
| 1821686445 | Laurie Renee Naumann | Massage Therapist | 4392 Indianola Ave, Columbus, OH 43214-2226 | 2021-01-08 |
| 1053909861 | Jameela Ellis | Homemaker | 3278 Kady Ln, Columbus, OH 43232-7454 | 2021-01-07 |
| 1598353229 | Betty D Bellamy | Phlebology | 2199 Hunter Ct, Columbus, GA 31907-3780 | 2021-01-07 |
| 1497343222 | Archmarie Soria Bing | Licensed Practical Nurse | 1865 Big Tree Dr, Columbus, OH 43223-6242 | 2021-01-07 |
| 1578151387 | Shalonda Hendrix | Home Health | 1297 Dellwood Ave, Columbus, OH 43227-2019 | 2021-01-07 |
| 1922696616 | Diamond Age Center | Home Health | 4889 Sinclair Rd Ste 101, Columbus, OH 43229-5433 | 2021-01-07 |
| 1598353393 | Victoria Bowen | Counselor · Professional | 115 Paddock Dr, Columbus, NJ 08022-9726 | 2021-01-06 |
| 1134717416 | Joseph Robert George Price | Nurse Practitioner · Primary Care | 1507 Glenn Ave, Columbus, OH 43212-2774 | 2021-01-04 |
| 1790373082 | Only One Holistic Health and Wellness | Clinic/Center · Medical Specialty | 5401 Gunboat Dr Ste 31, Columbus, GA 31907-1498 | 2021-01-04 |
| Find all providers in COLUMBUS | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548873680 | Nicollette Pizzoferrato | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 | |
| 1750994125 | Soumi Dey | 2085 Citygate Dr, Columbus, OH 43219-3656 | 2020-08-26 | |
| 1063024065 | Tanna Lynn Lok | 4545 Fisher Rd, Columbus, OH 43228-8923 | 2020-08-20 | |
| 1548878937 | Tracy King | 2561 Bryden Rd, Columbus, OH 43209-2135 | 2020-07-21 | |
| 1598386641 | Brina Nakia Smith | 3 Kingsridge Ct, Columbus, GA 31907-3730 | 2020-04-29 | |
| 1770111361 | Donna Betty Mitchell | 48 Northstar Dr, Columbus, GA 31907-6348 | 2020-03-30 | |
| 1124653514 | William A Jansak | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 | |
| 1164073227 | Victoria Hargrove | 2473 Highway 69 S, Columbus, MS 39702-9248 | 2019-09-20 | |
| 1700431657 | Ohio Tms Clinic LLC | 3099 Sullivant Ave, Columbus, OH 43204-1895 | 2019-08-07 | |
| 1780238204 | Gail Lorine Jones | 820 Brookstone Centre Pkwy # Ga31904, Columbus, GA 31904-9246 | 2019-08-01 | |
| Find all providers in COLUMBUS | ||||
| City | COLUMBUS |
| Zip Code | 43232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740786342 | Jerome Nchamukong | Student in an Organized Health Care Education/Training Program | 701 N Clayton St, Wilmington, DE 19805-3165 | 2018-04-03 |
| 1437562840 | Diana Nchamukong | Licensed Practical Nurse | 27034 Sprucewood Dr Apt 102, Wixom, MI 48393-3275 | 2014-06-04 |
| 1831595180 | Catherine Nchamukong | Registered Nurse | 30774 Beechwood St, Apt 44201, Wixom, MI 48393-2810 | 2014-11-14 |
| 1366701963 | Vajemia Frida Nchamukong | Home Health Aide | 1107 Kingwood Dr, Takoma Park, MD 20912-6917 | 2012-05-16 |
| 1356732481 | St Dominic Medical Associates LLC · St Dominic Rheumatology | Internal Medicine · Rheumatology | 971 Lakeland Dr, Suite, Jackson, MS 39216-4643 | 2015-02-11 |
| 1285987578 | St Dominic Medical Associates LLC · St Dominic Pallative Care | Hospitalist | 969 Lakeland Dr, Jackson, MS 39216 | 2012-10-24 |
| 1689063067 | St Dominic Medical Associates LLC · St Dominic Urology | Urology | 971 Lakeland Dr, Suite 360, Jackson, MS 39216-4643 | 2015-01-22 |
| 1316361686 | St Dominic Medical Associates LLC · St Dominic Surgical Oncology | Obstetrics & Gynecology · Gynecologic Oncology | 106 Highland Way, Ste 200, Madison, MS 39110-6929 | 2014-02-07 |
| 1346510559 | St Dominic Medical Associates · St Dominic'S Gynecologic Oncology | Obstetrics & Gynecology · Gynecologic Oncology | 971 Lakeland Dr, Suite 750, Jackson, MS 39216-4643 | 2012-01-04 |
| 1215350152 | St Dominic Medical Associates LLC · St Dominic Neuroscience Center | Psychiatry & Neurology · Neurology | 971 Lakeland Dr, Suite 557, Jackson, MS 39216-4643 | 2014-01-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.