| Niba Fuhnwi Nchotu, DO | |
|
415 6th St, Lewiston, ID 83501 | |
| (512) 730-3056 | |
| (888) 730-1925 |
| Full Name | Niba Fuhnwi Nchotu |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 13 Years |
| Location | 415 6th St, Lewiston, Idaho |
| 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 |
|---|---|---|---|
| 1366709792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101019807 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | OC0033 (Idaho) | Secondary |
| 208M00000X | Hospitalist | DO216470 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Medford Medical Center | Medford, OR | Hospital |
| Curry General Hospital | Gold beach, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 5294623245 | 158 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Niba Fuhnwi Nchotu, DO 7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534 Ph: (512) 730-3056 | Niba Fuhnwi Nchotu, DO 415 6th St, Lewiston, ID 83501 Ph: (512) 730-3056 |
Ifiok Akpan Idem, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 512-730-3056 Fax: 888-730-1925 | |
Dr. Jude Aaron Fink, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 512-730-3056 Fax: 888-730-1925 |