Physician Compare National (NPI:1518128149)

HEALTHCARE PROVIDER: OBIAGELI CHINAKA EZEWUIRO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1518128149
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406171057
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200827000387
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EZEWUIRO
	Individual professional last name
Provider First Name	OBIAGELI
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	HEMATOLOGY/ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	TEXAS ONCOLOGY PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5395658934
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	681
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	7848 GATEWAY BLVD E
	Group Practice or individual's line 1 address
City	EL PASO
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	799151815
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9155991313
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180104
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST HEALTH PADUCAH
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	180102
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LOURDES HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y