IBANGA MICHAEL EKANEM (NPI# 1710085824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710085824 |
| Entity Type | Individual |
| Full Name | IBANGA MICHAEL EKANEM |
| Credential | MD |
| Practice Address |
100 Paducah Dr New Martinsville WV 26155 |
| Practice Telephone | 3044553611 |
| Practice Fax Number | 3044551778 |
| Mailing Telephone | 3044553611 |
| Mailing Fax Number | 3044551778 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
19922 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1801553000 | 05 |
| Street Address |
100 PADUCAH DR |
| City | NEW MARTINSVILLE |
| State | WV |
| Zip Code | 26155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895016 | Dakshina R Murthy | Internal Medicine | 100 Paducah Dr, New Martinsville, WV 26155-2710 | 2005-07-19 |
| 1598091456 | Patricia Louise Bowman | Nurse Practitioner | 100 Paducah Dr, Suite B, New Martinsville, WV 26155-2710 | 2009-10-28 |
| 1598896193 | Lifeline Pediatrics Inc | Specialist | 100 Paducah Dr, New Martinsville, WV 26155-2710 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366905986 | Wheeling Hospital Inc | Clinic/Center | 253 West Virginia State Route 2, New Martinsville, WV 26155 | 2019-04-10 |
| 1053893412 | Diedra Shanel Huggins | Registered Nurse | 333 Foundry Street, New Martinsville, WV 26155 | 2018-09-02 |
| 1831615574 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1021 3rd St, New Martinsville, WV 26155 | 2017-08-15 |
| 1366747099 | David Michael Cole | Pharmacist | 520 North State Route 2, New Martinsville, WV 26155 | 2011-01-11 |
| 1194973347 | Air Evac Ems Inc | Ambulance | 2 E Benjamin Dr, New Martinsville, WV 26155 | 2008-08-29 |
| 1568630770 | Neill R Marshall Od PC | Optometrist | 903 Third Street, New Martinsville, WV 26155 | 2008-02-11 |
| 1083805055 | New Martinsville Counseling Center Inc. | Social Worker | 525 Third St., New Martinsville, WV 26155 | 2007-08-06 |
| 1124225859 | Wetzel County Homecare | Home Health | 299 N St Rt 2, New Martinsville, WV 26155 | 2007-06-27 |
| 1265650113 | Florence Crittenton Services, Inc. | Counselor | 761 Third Street, New Martinsville, WV 26155 | 2007-04-23 |
| 1548327067 | Phillip Kenneth Slampak | Podiatrist | 317 Witten Lane, New Martinsville, WV 26155 | 2007-01-03 |
| Find all providers in zip 26155 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1831494376 | Robin Darnell Pllc | Pediatrics | 4502 Maccorkle Ave Se Ste B, Charleston, WV 25304-1835 | 2011-01-13 |
| 1669669453 | Karyn Lynette Molinari-fryer | Pediatrics | 139 Conference Center Way, Suite 113, Bridgeport, WV 26330 | 2007-09-26 |
| 1649304395 | Carlos E Lucero | Pediatrics | 403 Carriage Dr, Beckley, WV 25801-2805 | 2007-03-15 |
| 1588705107 | Sunila Mehrotra | Pediatrics | 2101 Jacob St Ste 602, Wheeling, WV 26003-3844 | 2007-02-08 |
| 1407819360 | Anna Maria Suray | Pediatrics | 3045 Pennsylvania Ave, Suite 3 Level 1, Weirton, WV 26062-3770 | 2006-04-10 |
| 1295737153 | Ann M. Lambernedis | Pediatrics | 111 Great Teays Blvd Ste 101, Scott Depot, WV 25560-9548 | 2005-08-11 |
| 1477554574 | Pamela S. Stallo | Pediatrics | 303 Great Teays Blvd, Scott Depot, WV 25560-9553 | 2005-08-10 |
| 1003810631 | Romeo R Ednacot | Pediatrics | 207 Maplewood Ave, Ronceverte, WV 24970-1335 | 2005-06-10 |
| 1821338047 | Abc Pediatrics, Pllc | Pediatrics | 830 Pennsylvania Ave, Ste. 200, Charleston, WV 25302-3302 | 2013-02-25 |
| 1982953873 | Bee Healthy Pediatrics Pllc | Pediatrics | 400 Court St, Suite 300, Charleston, WV 25301-1652 | 2012-09-06 |
| Find all providers with the same taxonomy | ||||
| City | NEW MARTINSVILLE |
| Zip Code | 26155 |
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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.