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Active NPI 1730169194 Individual Practitioner Female Practitioner

Dr. Ijeoma A Azodo , MD

Surgery • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Ijeoma Azodo, MD is a registered healthcare professional specializing in Surgery in Providence, RI. Practice services are available at 2 DUDLEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 Dudley St
Suite 470

Providence, RI 029053236

Telephone 4012721800
Fax 4014357069
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.5 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
95 Specialists

Practicing in Providence, RI (160 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD144117

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MN 47608

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
949648300 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Dr. Eric Benoit , MD

Surgery - Surgical Critical Care

NPI 1073752366

Doctor of Medicine (M.D.)

Dawn Drake , RNP

Nurse Practitioner

NPI 1083905673
Dr. Doreen Wiggins , MD

Obstetrics & Gynecology

NPI 1093734204

Doctor of Medicine (M.D.)

NPI 1255535670

Doctor of Medicine (M.D.)

Angela Togba , NP

Nurse Practitioner

NPI 1285147488

Nurse Practitioner

Gerald Dornhecker , RNP

Nurse Practitioner - Family

NPI 1306994538

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2013

Registered at 2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 029053236 (Tel: 4012721800)

📍
Updated Business Mailing Address September 12, 2013

Registered at PO BOX 16149, RUMFORD, RI 029160697 (Tel: 4014539625)

👤
Provider Name / Credentials Updated September 12, 2013

Recorded as IJEOMA AZODO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2013

Surgery (License #MD144117 in RI)

🟢
Initial NPI Registration & Enumeration January 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730169194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2006
Last Update: September 12, 2013
Sole Proprietor: No

Mailing Address

Po Box 16149

Rumford, RI 029160697

Phone: 4014539625

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.