Provider Demographics
NPI:1235103102
Name:UCHE, JOHN OBINNA (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:OBINNA
Last Name:UCHE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 FAIRGROVE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NC
Mailing Address - Zip Code:28658-8531
Mailing Address - Country:US
Mailing Address - Phone:828-468-3980
Mailing Address - Fax:828-464-2845
Practice Address - Street 1:1915 FAIRGROVE CHURCH RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NC
Practice Address - Zip Code:28658-8531
Practice Address - Country:US
Practice Address - Phone:828-468-3980
Practice Address - Fax:828-464-2845
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016-02140207Q00000X
OH35086388207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0274457Medicaid
OH01403OtherPARAMOUNT
OH603271OtherBUCKEYE COMMUNITY HEALTH
OH000000568381OtherANTHEM
OH2613845Medicaid
OH0824228Medicaid
OH000000568381OtherANTHEM
OH0274457Medicaid
OH361823Medicare Oscar/Certification