SONNY EZEBULUNWOR IDEOZU (NPI# 1750427761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750427761 |
| Entity Type | Individual |
| Full Name | SONNY EZEBULUNWOR IDEOZU |
| Credential | M.D. |
| Practice Address |
4801 E Linwood Blvd Kansas City MO 64128-2226 |
| Mailing Address |
4768 Oak St Apt 514 Kansas City MO 64112-2265 |
| Practice Telephone | 8168614700 |
| Mailing Telephone | 8167565123 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
4801 E LINWOOD BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64128-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104163 | Michael B Parsa | Radiology | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2005-06-15 |
| 1811598501 | Meaghan Tufts | Technician, Pathology | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-11-08 |
| 1023626652 | Abesyde Buena Cairns | Registered Nurse | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-07-20 |
| 1467079699 | Jordan Thoman | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-07-03 |
| 1528685351 | Kennedy Lynn Moore | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-27 |
| 1740807684 | Christopher Alexander | Counselor | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-26 |
| 1861018962 | Baig Medical LLC | Family Medicine | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-24 |
| 1770109712 | Patricia Lynne Callahan | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-24 |
| 1770109936 | Lauren Ellsbeth Sudhoff | Pharmacist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-06-23 |
| 1477174423 | Jamie Chavez | Social Worker | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679927305 | Sobrina Sarah Mohammed | Internal Medicine | 3130 Mersington Ave, Kansas City, MO 64128 | 2016-04-19 |
| 1316300601 | Waled Bahaj | Internal Medicine | 3120 Mersington Ave, Kansas City, MO 64128 | 2016-04-04 |
| 1457732521 | Edward Stewart | Contractor | 2816 Bales Ave, Kansas City, MO 64128 | 2015-06-15 |
| 1144618869 | Kimberly Bergman | Social Worker | 4801 E Linwood Blvd., Kansas City, MO 64128 | 2015-01-05 |
| 1861826836 | Shelly K Miller | Registered Nurse | 2701 East 31st St, Kansas City, MO 64128 | 2013-08-27 |
| 1487890778 | School District of Kansas City, Mo | Clinic/Center | 3221 Indiana Ave., Kansas City, MO 64128 | 2008-12-17 |
| 1912177635 | Dr. Valentenia Daugherty and Dr. Alvin R. Smith, PC | Podiatrist | 2713 East 31st Street, Kansas City, MO 64128 | 2008-03-10 |
| 1649454844 | Allison Kay Ambrose | Pharmacist | 4801 East Linewood Boulevard, Kansas City, MO 64128 | 2007-12-24 |
| 1073720058 | Ram N Kamath | Internal Medicine | Kc-vamc, 4801 Linwood Blvd, Kansas City, MO 64128 | 2007-05-17 |
| 1003937020 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 2701 E 31st St, Kansas City, MO 64128 | 2007-04-03 |
| Find all providers in zip 64128 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780956086 | Gabe Fuller | Military Health Care Provider | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2012-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073641650 | Hugh Mestres | Military Health Care Provider | 1038 Arbor Pointe Dr, Manchester, MO 63088-1458 | 2007-03-02 |
| 1912511593 | Kay Lynn Brunt | Military Health Care Provider | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-09-01 |
| 1235650797 | Jenae Stiles | Military Health Care Provider | 4430 Missouri Avenue, Fort Leonard Wood Optometry, Fort Leonard Wood, MO 65473 | 2017-07-05 |
| 1487092797 | Brent Daniel Forrest | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2013-06-08 |
| City | KANSAS CITY |
| Zip Code | 64128 |
Please comment or provide details below to improve the information on SONNY EZEBULUNWOR IDEOZU.
| 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.