Provider Demographics
NPI:1700192275
Name:ENYERIBE, CHIOMA JANE-FRANCES (MD)
Entity type:Individual
Prefix:DR
First Name:CHIOMA
Middle Name:JANE-FRANCES
Last Name:ENYERIBE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHIOMA
Other - Middle Name:JANE-FRANCES
Other - Last Name:ACHILIKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:785 5TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4218
Practice Address - Street 1:2698 N GALLOWAY AVE STE 107
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-6390
Practice Address - Country:US
Practice Address - Phone:856-952-6558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1142208M00000X, 207Q00000X, 207Q00000X
PAMD441892208M00000X
DEC1-0012568207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102765640 0002Medicaid
PA102765640 0002Medicaid