DR. IKECHUKWUI ERIATOR (NPI# 1992806939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992806939 |
| Entity Type | Individual |
| Full Name | DR. IKECHUKWUI ERIATOR |
| Credential | M.D. |
| Practice Address |
2500 N State Street Jackson MS 39216-4505 |
| Mailing Address |
2500 N State Street Ste. S108-a Jackson MS 39216-4505 |
| Practice Telephone | 6019845900 |
| Practice Fax Number | 6019845939 |
| Mailing Telephone | 6019845900 |
| Mailing Fax Number | 6019845939 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 15724 | MS | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
15724 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07639518 | 05 | |
| MS | RAILROAD MEDICARE | P00064306 | 01 |
| MS | RR MEDICARE | P00462198 | 01 |
| Street Address |
2500 N STATE STREET |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669460937 | Robert A Mcguire Jr. | Orthopaedic Surgery | 2500 N State Street, Jackson, MS 39216 | 2005-10-11 |
| 1376096826 | Melissa Culpepper | Nurse Practitioner | 2500 N State Street, Jackson, MS 39216-4500 | 2016-08-02 |
| 1255625463 | John David Wofford IIi | Emergency Medicine | 2500 N State Street, Jackson, MS 39216-4500 | 2011-06-06 |
| 1184855207 | Franco Hernan Cabeza Rivera | Internal Medicine | 2500 N State Street, Jackson, MS 39216-4500 | 2009-08-06 |
| 1285865162 | Richard Elliott Wells | Internal Medicine | 2500 N State Street, Jackson, MS 39216-4500 | 2009-07-27 |
| 1336378637 | Michal Senitko | Internal Medicine | 2500 N State Street, Jackson, MS 39216-4500 | 2009-07-08 |
| 1528242724 | John Keith Mansel | Internal Medicine | 2500 N State Street, Jackson, MS 39216-4500 | 2007-12-24 |
| 1588702815 | Carla Simpson Cole | Dentist | 2500 N State Street, Jackson, MS 39216 | 2007-02-01 |
| 1811086515 | Brian E Kogon | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2500 N State Street, Jackson, MS 39216-4500 | 2006-10-12 |
| 1124113667 | John Gorham Winscott Jr. | Internal Medicine | 2500 N State Street, Dept of Medicine Division of Cardiology, Jackson, MS 39216 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982996567 | Mb Costello Enterprises LLC | Anesthesiology | 1501 Lakeland Dr Ste 251, Jackson, MS 39216-4848 | 2011-05-13 |
| 1841286853 | Frank Edwin Jordan | Anesthesiology | 160c W University Pkwy, Jackson, TN 38305-1667 | 2005-09-26 |
| 1841774262 | Wa Foote Memorial Hospital Inc | Anesthesiology | 205 N East Ave, Jackson, MI 49201-1753 | 2018-09-21 |
| 1316331218 | Bhumika Sherdiwala | Anesthesiology | 817 Court St, Jackson, CA 95642-2156 | 2015-03-27 |
| 1962823344 | Jackson Pain Center Pa | Anesthesiology | 1151 N State St, Suite 311, Jackson, MS 39202-2407 | 2014-01-02 |
| 1265720791 | Joel Dale Nutt | Anesthesiology | 2500 N State St, Jackson, MS 39216-4500 | 2011-07-18 |
| 1114233228 | Jackson Interventional Pain Center LLC | Anesthesiology | 379 Hospital Blvd, Jackson, TN 38305-2177 | 2010-08-26 |
| 1447446570 | Pain Consultants of West Tennessee | Anesthesiology | 160 W University Pkwy Ste C, Jackson, TN 38305-1667 | 2007-09-21 |
| 1982811097 | Mississippi Pain Management | Anesthesiology | 1 Layfair Dr, Ste 400, Jackson, MS 39232-9717 | 2007-05-17 |
| 1528190196 | Ruben Fernandez Jr. | Anesthesiology | 810 W Forest Ave, Jackson, TN 38301-3942 | 2007-03-09 |
| Find all providers in JACKSON | ||||
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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.