Physician Compare National (NPI:1639220213)

HEALTHCARE PROVIDER: KENECHUKWU OFORDEME M.D.

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

Individual Professional Information
NPI	1639220213
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951464536
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090107000687
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OFORDEME
	Individual professional last name
Provider First Name	KENECHUKWU
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	OXBOW EMERGENCY PHYSICIANS PLLC
	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	8921026600
	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	129
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	21214 NORTHWEST FWY
	Group Practice or individual's line 1 address
City	CYPRESS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	774293373
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450775
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	KINGWOOD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450193
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHI BAYLOR ST LUKES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	670202
	Medicare CCN of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y