Martin Ibeawuchi
Martin Ibeawuchi is a Certified Registered Nurse Anesthetist (CRNA) in Haddon Heights, New Jersey. Qualified in 2019, 7 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 7
- Licensed in
- TX
- In the registry since
- 2013
Practice location Address checks out
13 Black Horse Pike Apt 2BHaddon Heights, NJ 08035-1042
Phone: (863) 835-0107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 844821 (TX) |
|---|
Record details
| NPI number | 1255769832 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 17, 2013 |
| Last updated in NPPES | October 17, 2013 |
| Mailing address | 13 Black Horse Pike Apt 2b, Haddon Heights, NJ 08035-1042 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Medstar Medical Group Ii Llc — 3717 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |