DONATUS M. EGBONIM (NPI# 1962440875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962440875 |
| Entity Type | Individual |
| Full Name | DONATUS M. EGBONIM |
| Credential | MD |
| Practice Address |
4309 Greatview Dr Round Rock TX 78665-1245 |
| Mailing Address |
1042 Professional Court Manning SC 29102-2827 |
| Practice Telephone | 8034337991 |
| Practice Fax Number | 8034337791 |
| Mailing Telephone | 8034337991 |
| Mailing Fax Number | 8034337791 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2012-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | N3018 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | N3018 | TX | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 20233 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GHI | 0116367 | 01 |
| SC | RAILROAD MEDICARE | P00423235 | 01 |
| SC | SELECT HEALTH FIRST CHOICE | 20049632 | 01 |
| SC | 202337 | 05 |
| Street Address |
4309 GREATVIEW DR |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-1245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023567401 | Margaret O Egbonim | Nurse Practitioner | 4309 Greatview Dr, Round Rock, TX 78665-1245 | 2016-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801259510 | Romin Thomas | Internal Medicine | 2207 Southeastern Trl, Round Rock, TX 78664-8004 | 2016-03-30 |
| 1487041430 | Lena Nicole Howerton | Internal Medicine | 7200 Wyoming Springs Dr Ste 1500, Round Rock, TX 78681-4308 | 2015-04-16 |
| 1881088052 | Chaitanya Konda | Internal Medicine | 2708 Sorano Ave, Round Rock, TX 78665-2153 | 2015-03-25 |
| 1801105457 | Tim Robins M.d.,p.a. | Internal Medicine | 7200 Wyoming Sprgs Dr, Ste 1600, Round Rock, TX 78681-4703 | 2010-09-30 |
| 1720217995 | Nada Elmagboul | Internal Medicine | Baylor Scott and White Clinic, 425 University Boulevard, Round Rock, TX 78665 | 2009-07-09 |
| 1265695746 | Teresa Benjamin Fox | Internal Medicine | 1921 Plantation Dr, Round Rock, TX 78681-2166 | 2008-07-06 |
| 1013067271 | Sri Pa | Internal Medicine | 2300 Round Rock Ave Ste 202, Round Rock, TX 78681-4025 | 2007-01-11 |
| 1598708216 | Central Texas Diagnostic Clinic | Internal Medicine | 7200 Wyoming Springs Dr., Ste. 1600, Round Rock, TX 78681 | 2006-06-13 |
| 1306885124 | Joseph P Hermosa | Internal Medicine | 402a W Palm Valley Blvd # 350, Round Rock, TX 78664-4237 | 2006-06-06 |
| 1598703084 | Nilanjana Sen Dasgupta | Internal Medicine | 3950 N A W Grimes Blvd Ste N104, Round Rock, TX 78665-3540 | 2006-06-04 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
Please comment or provide details below to improve the information on DONATUS M. EGBONIM.
| 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.