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Active NPI 1932941226 Individual Practitioner Male Practitioner

Ebere Ogbonnah

Licensed Practical Nurse • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Ebere Ogbonnah is a registered healthcare professional specializing in Licensed Practical Nurse in Baltimore, MD. Practice services are available at 12 WILLOW CREEK CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12 Willow Creek Ct

Baltimore, MD 212348715

Telephone 4109004201
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
69 Specialists

Practicing in Baltimore, MD (636 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2025-03-27
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MD LP44506

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 27, 2025

Registered at 12 WILLOW CREEK CT, BALTIMORE, MD 212348715 (Tel: 4109004201)

📍
Updated Business Mailing Address March 27, 2025

Registered at 12 WILLOW CREEK CT, BALTIMORE, MD 212348743 (Tel: 4109004201)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2025

Licensed Practical Nurse (License #LP44506 in MD)

NPI Profile Active June 15, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2024

Registered at 14 WILLOW CREEK CT, BALTIMORE, MD 212348743 (Tel: 4109004201)

📍
Updated Business Mailing Address June 15, 2024

Registered at 14 WILLOW CREEK CT, BALTIMORE, MD 212348743 (Tel: 4109004201)

👤
Provider Name / Credentials Updated June 15, 2024

Recorded as EBERE OGBONNAH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2024

Licensed Practical Nurse (License #LP4405 in MD)

🟢
Initial NPI Registration & Enumeration June 10, 2024

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: 1932941226
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2024
Last Update: March 27, 2025
Sole Proprietor: Yes

Mailing Address

12 Willow Creek Ct

Baltimore, MD 212348743

Phone: 4109004201

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.