KEJO MEDICAL PLLC (NPI# 1194279539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194279539 |
| Entity Type | Organization |
| Organization Name | KEJO MEDICAL PLLC |
| Other Organization Name | MARION PRIMARY CARE CLINIC |
| Practice Address |
200 E Military Rd Marion AR 72364-1811 |
| Practice Telephone | 2487471735 |
| Enumeration Date | 2016-08-14 |
| Last Update Date | 2016-08-14 |
| Authorized Official Name | DR. CHUKWUEMEKA NDUBISI EZEUME (CO-OWNER) |
| Authorized Official Telephone | 6623217899 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Marion Primary Care Clinic | Doing Business As Name - Organization |
| Street Address |
200 E MILITARY RD |
| City | MARION |
| State | AR |
| Zip Code | 72364-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821046608 | Ilsa Sanchez | General Practice | 200 E Military Rd, Marion, AR 72364-1811 | 2006-05-04 |
| 1588141725 | La-chanda Michelle Brown | Family Medicine | 200 E Military Rd, Marion, AR 72364-1811 | 2018-07-20 |
| 1578921698 | Jacinta Iwuji | Nurse Practitioner | 200 E Military Rd, Suite 1, Marion, AR 72364-1811 | 2016-02-03 |
| 1295138246 | Oluchi L Ezeume | Nurse Practitioner | 200 E Military Rd, Suite 1, Marion, AR 72364-1811 | 2014-10-06 |
| 1629361340 | Chukwuemeka Ezeume | Internal Medicine | 200 E Military Rd, Suite 1, Marion, AR 72364-1811 | 2011-05-27 |
| 1629174164 | Marion Sleep Diagnostics | Clinical Medical Laboratory | 200 E Military Rd, Suite 2, Marion, AR 72364-1811 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1346761251 | Ashlyn Brook Williams | Nurse Practitioner | 136 Block Street, Marion, AR 72364 | 2017-06-30 |
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1366828378 | Hilary Hartwig | Nurse Practitioner | 1139 Hwy 77, Marion, AR 72364 | 2015-08-03 |
| 1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
| 1144661141 | Heather Chapman | Physical Therapy Assistant | 2860 I 55 Service Rd Ste C, Marion, AR 72364 | 2013-07-08 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| Find all providers in zip 72364 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1598845760 | Misison of Sight Inc | Clinic/Center | 256 S Main St, Marion, OH 43302-3933 | 2006-10-16 |
| 1972574069 | Rural Medical Clinics, Pa | Clinic/Center | 307 E State St, Marion, SD 57043-2061 | 2006-01-28 |
| 1669460952 | Smyth County Community Hospital | Clinic/Center | 1201 Snider St, Marion, VA 24354-4221 | 2005-10-11 |
| 1841298734 | Ohio Imaging LLC | Clinic/Center | 1065 Delaware Ave, Marion, OH 43302 | 2005-07-13 |
| 1083254734 | Southern Spine & Rehab LLC | Clinic/Center | 1616 W Main St Ste 503, Marion, IL 62959-1146 | 2020-01-10 |
| 1205372778 | Chesi Marion Centre Clinic | Clinic/Center | 3111 Williamson County Pkwy, Office A3, Marion, IL 62959-5235 | 2017-01-09 |
| 1336328186 | Dr. M.t.joseph M.d.ltd | Clinic/Center | 1009 W Main St, Marion, IL 62959-1841 | 2007-10-29 |
| 1427155472 | Envision Professional Group, Pllc | Clinic/Center | 1020 Terrace Dr, Suite 100, Marion, VA 24354 | 2006-09-20 |
| 1427060540 | Midwest Allergy & Sinus Center, LLC | Clinic/Center | 330 N Wabash Ave, Suite 210, Marion, IN 46952-2600 | 2006-08-13 |
| 1972522431 | Delano W. Bolter | Clinic/Center | 434 Mitchell Valley Dr, Marion, VA 24354-6338 | 2006-07-18 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.