ETIENO USEN UMOBONG M.D. NPI 1467748657

NPI Information

NPI: 1467748657
Provider Name: ETIENO USEN UMOBONG, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
2005 TECHNOLOGY PKWY STE 300
MECHANICSBURG, PA
ZIP 17050
Phone: (717) 988-5864
Get Directions

Etieno Usen Umobong, M.D. is a pulmonary disease internal medicine in Mechanicsburg, PA with 13 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Etieno Usen Umobong, M.D. NPI is 1467748657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:2011

The provider's business location address is:

2005 TECHNOLOGY PKWY STE 300
MECHANICSBURG, PA
ZIP 17050-423
Phone: (717) 988-5864

The NPI 1467748657 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2011 and was last updated on 8/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		TO BE ISSUED	NEW YORK	No
2	207R00000X	Internal Medicine		MD471227	PENNSYLVANIA	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	MD471227	PENNSYLVANIA	Yes
4	208600000X	Surgery		MT200560	PENNSYLVANIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103787651	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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