Dr Timothy Omenonye Ehiabor, MD | |
14201 Laurel Park Dr, Suite 102a, Laurel, MD 20707-5203 | |
(301) 490-6341 | |
(301) 490-6343 |
Full Name | Dr Timothy Omenonye Ehiabor |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 14201 Laurel Park Dr, Laurel, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720246622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D71421 (Maryland) | Secondary |
208M00000X | Hospitalist | ME0130609 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sacred Heart Hospital | Pensacola, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Galen Inpatient Physicians Pc | 3678464633 | 442 |
Entity Name | Sacred Heart Health System, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902857352 PECOS PAC ID: 5799763074 Enrollment ID: O20040713000147 |
Entity Name | Hospital Physician Services Of Florida Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558718635 PECOS PAC ID: 7012201965 Enrollment ID: O20160816000476 |
Entity Name | Hni Medical Services Of Florida, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426 |
Entity Name | Hni Hospital Services Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144851411 PECOS PAC ID: 0244661353 Enrollment ID: O20200505001799 |
Entity Name | Pensacola Hospitalist Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487254140 PECOS PAC ID: 5395159818 Enrollment ID: O20210125001604 |
Entity Name | Hospital Medicine Services Of Fl, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
Entity Name | Galen Inpatient Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205614336 PECOS PAC ID: 3678464633 Enrollment ID: O20231116000854 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy Omenonye Ehiabor, MD 14201 Laurel Park Dr, Suite 102a, Laurel, MD 20707-5203 Ph: (301) 490-6341 | Dr Timothy Omenonye Ehiabor, MD 14201 Laurel Park Dr, Suite 102a, Laurel, MD 20707-5203 Ph: (301) 490-6341 |