EKONG ITO ETA


Address: 400 N Fant St, Suite A, Anderson, SC 29621-5720
Phone: 8642265260

EKONG ITO ETA (NPI# 1598945081) 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) 1598945081
Entity Type Individual
Full Name EKONG ITO ETA
Credential MD
Practice Address 400 N Fant St
Suite A
Anderson
SC 29621-5720
Practice Telephone 8642265260
Practice Fax Number 8642265863
Mailing Telephone 8642265260
Mailing Fax Number 8642265863
Enumeration Date 2007-11-13
Last Update Date 2013-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 21501 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP2896 05
SC 215011 05

Office Location

Street Address 400 N FANT ST
SUITE A
City ANDERSON
State SC
Zip Code 29621-5720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699724849 Etas Clinic, P.C. Internal Medicine 400 N Fant St, Suite A, Anderson, SC 29621-5720 2006-05-07
1851630610 Carolinas Center for Advanced Management of Pain Pa Psychologist 400 N Fant St, Suite E, Anderson, SC 29621-5720 2013-02-13
1184999096 Anmed Health Psychiatry & Neurology 400 N Fant St, Suite D, Anderson, SC 29621-5720 2012-03-12
1649506965 Anmed Health Internal Medicine 400 N Fant St, Suite G, Anderson, SC 29621-5720 2009-10-21
1326272279 Amara Sania Chudhary Psychiatry & Neurology 400 N Fant St, Suite D, Anderson, SC 29621-5720 2009-05-06
1225274707 Marcia Joy Harbin Counselor 400 N Fant St, Anderson, SC 29621-5720 2009-01-05
1710181672 Alvin F Watson Jr. Social Worker 400 N Fant St, Suite D, Anderson, SC 29621-5720 2007-06-13
1427090497 Khizar Khan Psychiatry & Neurology 400 N Fant St, Suite D, Anderson, SC 29621-5720 2006-06-12
1144267998 Phyllis Newman Counselor 400 N Fant St, Suite D, Anderson, SC 29621-5720 2006-06-01
1033156484 Anderson Psychiatry and Psychotherapy, LLC Psychiatry & Neurology 400 N Fant St, Suite D, Anderson, SC 29621-5720 2006-06-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114574241 Kathryn L Harwick Social Worker 3030 Sc-81, Anderson, SC 29621 2019-08-22
1326517194 Ashlea Bronwen Bates Nurse Practitioner 3424 Clemson Blvd., Anderson, SC 29621 2018-11-21
1770051708 Bailee Vernon Mccarley Nurse Practitioner 800 Fant St, Anderson, SC 29621 2018-11-07
1790278893 Morgan Cutts Speech-Language Pathologist 126 Broadbent Way, Suite A, Anderson, SC 29621 2018-06-13
1427546233 Amanda Coker Burnette Family Medicine 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 2018-04-26
1205342169 Robert Allen Dameron Jr. Orthopaedic Surgery 130 Longview Drive, Anderson, SC 29621 2017-12-14
1578085411 Michael Jason Bell Contractor 520 Hwy 29 Bypass N, Anderson, SC 29621 2017-07-12
1639629983 Todd E. Hamilton Dentist 1112 Cornelia Road, Anderson, SC 29621 2016-10-11
1760939110 Crystal Vaughn Nurse Practitioner Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 2016-09-01
1992151328 Veronica Williams Non-emergency Medical Transport (VAN) 2314 Old Williamston Road, Anderson, SC 29621 2016-05-04
Find all providers in zip 29621

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
1093156580 Vipin Verma Internal Medicine 703 N Fant St Ste B, Anderson, SC 29621-5705 2013-07-11
1528320918 James Thompson Mcclain Internal Medicine 2000 E Greenville St Ste 5000, Anderson, SC 29621-1763 2012-06-12
1548540578 Emerald Banas Branch Internal Medicine 2000 East Greenville St., Suite 1100, Anderson, SC 29621 2011-08-22
1023345972 Dalwinderpal Singh Samra Internal Medicine 1547 Ohio Ave., Anderson, IN 46016-5088 2009-11-13
1871759100 Heather G Figurelli Internal Medicine 2101 Jackson St Ste 101, Anderson, IN 46016-4386 2008-08-06
1720242183 Ravi Kant Internal Medicine 100 Healthy Way Ste 1210, Anderson, SC 29621 2008-07-15
1821251240 David Jonathan Budhoo Internal Medicine 118 Carter Hall Dr, Anderson, SC 29621-1904 2008-07-07
1386856037 Nighat A Tahir Internal Medicine 1210a Medical Arts Blvd, Suite 200, Anderson, IN 46011-3437 2007-05-04
1356477368 Charles W. Scowcroft Internal Medicine 1530 N Fant St Ste B, Anderson, SC 29621-4700 2007-02-26
1790851509 Robert W Anderson Internal Medicine 2101 Jackson Street, Suite 111, Anderson, IN 46016 2006-11-27
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City ANDERSON
Zip Code 29621

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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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