NKIRUKA C EZENWA (NPI# 1225340649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225340649 |
| Entity Type | Individual |
| Full Name | NKIRUKA C EZENWA |
| Credential | M.D |
| Practice Address |
3876 New Covington Pike Memphis TN 38128-2512 |
| Mailing Address |
Po Box 1000 Dept 978 Memphis TN 38148-0001 |
| Practice Telephone | 9013772711 |
| Practice Fax Number | 9013872036 |
| Mailing Telephone | 9017589900 |
| Mailing Fax Number | 9017522335 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 50713 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
3876 NEW COVINGTON PIKE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770683989 | Amy Elizabeth Hubbard | Pediatrics | 3876 New Covington Pike, Memphis, TN 38128-2512 | 2006-09-25 |
| 1184030496 | Jennifer Nicole Bentley | Pediatrics | 3876 New Covington Pike, Memphis, TN 38128 | 2014-07-08 |
| 1285991018 | Elizabeth Claire Simmons | Pediatrics | 3876 New Covington Pike, Memphis, TN 38128-2512 | 2012-04-18 |
| 1467613240 | Hubert Logan Dellinger Jr. | Pediatrics | 3876 New Covington Pike, Memphis, TN 38128-2512 | 2008-06-24 |
| 1699947432 | Pediatric Associates,pc | Pediatrics | 3876 New Covington Pike, Memphis, TN 38128-2512 | 2008-04-01 |
| 1548360753 | Johnita Kennedy-keyes Norman | Pediatrics | 3876 New Covington Pike, Memphis, TN 38128-2512 | 2006-09-25 |
| 1356441570 | Nancy Elizabeth Holland | Pediatrics | 3876 New Covington Pike, Memphis, TN 38128-2512 | 2006-09-25 |
| 1831299049 | John Vincent Pender | Pediatrics | 3876 New Covington Pike, Memphis, TN 38128-2512 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285015453 | Taylor Aglio | Pediatrics | 49 N Dunlap St # 131, Memphis, TN 38103-2802 | 2015-06-14 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1366844490 | Gerard Joseph Billmeier Jr. | Pediatrics | 6465 Massey Lane, Memphis, TN 38120-3307 | 2014-09-19 |
| 1316348089 | James Levernier | Pediatrics | 4781 Park Ave, Memphis, TN 38117-5623 | 2014-09-11 |
| 1124454657 | Walter Thompson Hughes Jr. | Pediatrics | 854 River Park Dr, Memphis, TN 38103-0804 | 2013-09-16 |
| 1518301084 | Jennifer Lauren Miller | Pediatrics | 6401 Poplar Ave Ste 610, Memphis, TN 38119-4806 | 2013-04-26 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1477845451 | Emilee Adelyn Dobish | Pediatrics | 850 Poplar Ave, Building 2, Memphis, TN 38103 | 2011-05-09 |
| 1366748055 | Silpa Peravali | Pediatrics | Lebonheur Childrens Hospital, 848 Adams Avenue, Memphis, TN 38103 | 2011-01-28 |
| 1275854259 | Melissa Ruth Hines | Pediatrics | 262 Danny Thomas Pl # Ms 734, Division of Pediatric Critical Care, Memphis, TN 38105-3678 | 2010-06-14 |
| Find all providers in MEMPHIS | ||||
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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.