ADEKUNBI ETSEOGBOYA EGWAKHE


Address: 2700 Wayne Memorial Dr, Goldsboro, NC 27534
Phone: 9197361110

ADEKUNBI ETSEOGBOYA EGWAKHE (NPI# 1265828503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265828503
Entity Type Individual
Full Name ADEKUNBI ETSEOGBOYA EGWAKHE
Credential MD
Practice Address 2700 Wayne Memorial Dr
Goldsboro
NC 27534
Mailing Address 2700 Wayne Memorial Dr
Goldsboro
NC 27534-9494
Practice Telephone 9197361110
Mailing Telephone 9197361110
Enumeration Date 2015-04-14
Last Update Date 2018-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 2018-01887 NC Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 2018-01887 NC Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
720 Westview Dr Sw, Atlanta, GA 303101458 4047561368 4047561313

Office Location

Street Address 2700 WAYNE MEMORIAL DR
City GOLDSBORO
State NC
Zip Code 27534

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245235951 Daniel Lowell Drotts Emergency Medicine 2700 Wayne Memorial Dr, Emergency Dept, Goldsboro, NC 27534-9494 2005-06-17
1124632146 Brandon Grant Godwin Nurse Practitioner 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 2020-09-08
1154952182 Hilda Atik Nurse Practitioner 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 2020-01-29
1508417809 Kaitlyn Jessica Shotwell Physician Assistant 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 2019-09-27
1093272908 Tracie Jones Riley Nurse Practitioner 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 2019-02-27
1376026518 Matthew Price Mclaughlin Physician Assistant 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 2018-09-13
1023590973 Summer Graham Carr Nurse Practitioner 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 2018-09-06
1871073957 Carina S Norris Occupational Therapist 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 2018-08-17
1871073130 Katherine Carroll Speech-Language Pathologist 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 2018-08-16
1003396383 Rochelle Masudal Occupational Therapist 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 2018-08-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457875767 Trent Jonathan Forshey Physical Therapist 2126 Wayne Memorial Dr, Goldsboro, NC 27534 2017-07-28
1336685551 Wayne Al Holdings, LLC Assisted Living Facility 901 West New Hope Rd, Goldsboro, NC 27534 2017-01-11
1952845471 Latoya Faulk Social Worker 121 Carolina Forest Drive, Goldsboro, NC 27534 2016-12-19
1528415841 Kelby Joseph Sage Durnin Military Health Care Provider 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 2016-05-17
1528490604 Eric Christian Bourgeois Physical Therapist 1101a Gracie Pl, Goldsboro, NC 27534 2013-07-31
1831439165 Erica Nicole Davis Optometrist 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 2013-02-23
1891039236 Betty Webb Zimmerman Nurse Practitioner 204 Cox Blvd, Goldsboro, NC 27534 2012-11-26
1144595265 Life Recovery Psychological Services Counselor 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 2012-03-22
1558596536 Taylor Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 802 Taylor St, Goldsboro, NC 27534 2009-05-20
1780895136 Sherrie Fennell Edwards Dietitian, Registered 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 2007-05-25
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285954958 Mohammed Ataullah Farooqui Internal Medicine 2615 Hospital Rd, Suite 300, Goldsboro, NC 27534-9424 2010-06-04
1588872964 Van Lee Adams Internal Medicine 204 Malloy Street, Suite A, Goldsboro, NC 27534 2007-05-18
1770607228 Randy L Swackhammer Internal Medicine 2400 Wayne Memorial Dr Ste C, Goldsboro, NC 27534-1750 2007-03-19
1366575128 Loretta Vanhaasteren Internal Medicine 532 W New Hope Rd, Apt C6, Goldsboro, NC 27534-7567 2007-03-13
1558490664 Mercy Medical Clinic, P. A. Internal Medicine 2501 Wayne Memorial Dr Ste A, Goldsboro, NC 27534-9436 2007-03-05
1700976701 Prime Care Physicians Pa Internal Medicine 2607 Medical Office Pl Ste B, Goldsboro, NC 27534-9437 2006-10-13
1043329543 Anagha S Paranjape Internal Medicine 2610 Hospital Rd, Goldsboro, NC 27534-9423 2006-08-29
1134135551 Celestine I Amaefule Internal Medicine 1104 Gracie Pl, Goldsboro, NC 27534-2260 2006-07-31
1164467775 Najibullah Muradi Internal Medicine 104 Adair Dr Unit A, Goldsboro, NC 27530-4516 2006-06-18
1154365591 Jeffrey A Margolis Internal Medicine 2701 Medical Office Pl, Goldsboro, NC 27534-9458 2006-06-16
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Competitor

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City GOLDSBORO
Zip Code 27534

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Dataset Information

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.

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