EBELE GWENDOLYN ORAZULIKE (NPI# 1720234560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720234560 |
| Entity Type | Individual |
| Full Name | EBELE GWENDOLYN ORAZULIKE |
| Credential | MD |
| Practice Address |
342 Patricia Lane Ste 105 Fort Mill SC 29708 |
| Mailing Address |
2214 Old Cherokee Rd Lexington SC 29072-9725 |
| Practice Telephone | 8035209380 |
| Practice Fax Number | 8035205972 |
| Mailing Telephone | 8035209380 |
| Mailing Fax Number | 8035205972 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 201101644 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 514526 | 05 | |
| NC | 5921816 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2540 W Arrowood Rd, Ste 100, Charlotte, NC 282736197 | 7045880232 | 7045880445 |
| Street Address |
342 PATRICIA LANE STE 105 |
| City | FORT MILL |
| State | SC |
| Zip Code | 29708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275568149 | Carolina Interventional Pain Associates, P.a | Anesthesiology | 342 Patricia Lane, Suite 102, Fort Mill, SC 29708 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089098 | Jennifer Priory O'keefe | Nurse Practitioner | 117 Stone Village Dr., Fort Mill, SC 29708 | 2019-08-26 |
| 1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1861985384 | Hf Care Services LLC | Counselor | 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 | 2018-06-09 |
| 1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
| 1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
| 1407362338 | Smith Physical Therapy and Wellness | Physical Therapist | 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 | 2017-12-14 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1942729355 | Alexis Rose Muttillo | Specialist/Technologist | 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 | 2017-09-18 |
| 1407308208 | Brenda Terry | Acupuncturist | 1171 Market Street, Ste # 112, Fort Mill, SC 29708 | 2016-10-27 |
| Find all providers in zip 29708 | ||||
| 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 |
|---|---|---|---|---|
| 1518571421 | Carolinas Physicians Network Inc | Pediatrics | 1154 Carolina Pl, Fort Mill, SC 29708-7063 | 2020-09-08 |
| 1972536878 | Susan Jo Start | Pediatrics | 1698 Highway 160 W, Suite 220, Fort Mill, SC 29708-8032 | 2006-07-07 |
| 1437115318 | Mildred Anne Kinghorn | Pediatrics | 22137 East Tern Court, Fort Mill, SC 29715 | 2006-04-21 |
| 1972997203 | Jennifer Williams | Pediatrics | 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 | 2015-03-25 |
| 1083032254 | Piedmont Express Care At Sutton Road, LLC | Pediatrics | 515 Rivercrossing Dr, Suite 180, Fort Mill, SC 29715-7900 | 2014-04-03 |
| 1306118583 | Indian Land Pediatrics, LLC | Pediatrics | 7580 Charlotte Hwy, Suite 1000, Fort Mill, SC 29707-7801 | 2012-02-02 |
| 1942591565 | Sital Jethwa | Pediatrics | 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 | 2011-04-30 |
| 1932436490 | Carolinas Physicians Network Inc | Pediatrics | 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 | 2009-11-04 |
| 1235284605 | Laura Pagnotta | Pediatrics | 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 | 2007-01-24 |
| 1619040755 | Lauren Bregman | Pediatrics | 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 | 2006-11-16 |
| Find all providers in FORT MILL | ||||
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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.