DR. ANNA EJUILE ADEKUGBE (NPI# 1982999751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982999751 |
Entity Type | Individual |
Full Name | DR. ANNA EJUILE ADEKUGBE |
Credential | M.D |
Practice Address |
221 Us Highway 41 Ste I Schererville IN 46375-1278 |
Mailing Address |
951 Transport Dr Valparaiso IN 46383-8434 |
Practice Telephone | 2198643950 |
Practice Fax Number | 2198643952 |
Mailing Telephone | 2194776082 |
Mailing Fax Number | 2194659502 |
Enumeration Date | 2011-06-09 |
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 | 01072692A | IN | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 125057555 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201190960 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
710 Franklin St, Michigan City, IN 463603563 | 2198726200 | 2198792915 |
Street Address |
221 US HIGHWAY 41 STE I |
City | SCHERERVILLE |
State | IN |
Zip Code | 46375-1278 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316567134 | Phillip G Koultourides, O.d. P.C. | Optometrist | 210 Indianapolis Blvd, Suite B, Schererville, IN 46375 | 2020-04-22 |
1326568619 | Ariel Nicole Szczecina | Optometrist | 171 Us-41, Schererville, IN 46375 | 2017-06-27 |
1700323508 | National Vision, Inc. | Technician/Technologist | 171 Us 41, Schererville, IN 46375 | 2017-01-31 |
1669845590 | Help At Home, LLC | Nursing Care | 833 N Lincoln Hwy, Suite 200 East, Schererville, IN 46375 | 2015-10-30 |
1518367135 | Kathleen Ollearis | Counselor | 2037 Us Highway 41, Schererville, IN 46375 | 2014-09-02 |
1225453756 | Nancy Jean Schmidt | Registered Nurse | 1824 S. Cline Ave., Peifer Elementary, Schererville, IN 46375 | 2014-02-20 |
1245651249 | Kathleen Maria Georgiou | Registered Nurse | 225 W 77th Ave., Grimmer Middle School, Schererville, IN 46375 | 2013-12-18 |
1881015881 | Cheryl Lynn Johnson | Registered Nurse | 333 W 77th Ave., Watson Elementary, Schererville, IN 46375 | 2013-12-18 |
1821419821 | Shirley Marie Baczkowski | Registered Nurse | 210 E. Joliet St, Homan Elementary, Schererville, IN 46375 | 2013-12-18 |
1154698710 | M Susanne Fronczak | Pharmacist | 5520 W. Lincoln, Schererville, IN 46375 | 2011-11-28 |
Find all providers in zip 46375 |
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 |
---|---|---|---|---|
1629119474 | Cristina Tumacder | Pediatrics | 1435 Eagle Ridge Dr, Schererville, IN 46375-1386 | 2007-02-12 |
1447333158 | Timothy J Patrick-miller | Pediatrics | 221 Us Highway 41, Suite 1, Schererville, IN 46375-1277 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801404165 | Long Term Care and Rehab Consultants LLC | Pediatrics | 4919 Charlestown Rd, New Albany, IN 47150-9426 | 2020-07-22 |
1295358265 | Culver Pediatrics Center, Inc | Pediatrics | 16427 18th Rd, Culver, IN 46511-9754 | 2020-05-25 |
1497399927 | Primary Care Partners of South Bend | Pediatrics | 300 S Saint Louis Blvd Ste 204, South Bend, IN 46617-3044 | 2019-10-28 |
1447780069 | Ann Freshour | Pediatrics | 575 Riley Hospital Dr Ste Xe-040, Indianapolis, IN 46202-5272 | 2017-06-15 |
1578009114 | Charles W Bemm | Pediatrics | 3783 E State Road 18, Marion, IN 46952-8768 | 2017-01-06 |
1700339983 | Buria Naeem | Pediatrics | 705 Riley Hospital Dr Rm 4900, Indianapolis, IN 46202-5109 | 2016-07-25 |
1518316264 | Christine Marie Timmer Firlit | Pediatrics | 1946 45th St Ste C, Munster, IN 46321-3986 | 2016-06-03 |
1013362839 | Christine Nix | Pediatrics | 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202-5209 | 2016-04-29 |
1245685114 | Brogan D Hayden | Pediatrics | 100 Hospital Ln Ste 200, Danville, IN 46122-1993 | 2016-04-28 |
1649624529 | Corin Marshall | Pediatrics | 1001 Hadley Rd Ste Ll050, Mooresville, IN 46158-1883 | 2016-04-18 |
Find all providers with the same taxonomy |
City | SCHERERVILLE |
Zip Code | 46375 |
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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.