FREEDOM IKEDIONWU, MD, PC (NPI# 1043512049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043512049 |
| Entity Type | Organization |
| Organization Name | FREEDOM IKEDIONWU, MD, PC |
| Practice Address |
1819 W Gore Blvd Lawton OK 73501-3614 |
| Practice Telephone | 5803535522 |
| Practice Fax Number | 5802483042 |
| Mailing Telephone | 5803535522 |
| Mailing Fax Number | 5802483042 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |
| Authorized Official Name | DR. FREEDOM KENE IKEDIONWU (PRESIDENT) |
| Authorized Official Telephone | 5803535522 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
1819 W GORE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750438032 | American Dialysis Inc | Specialist | 1819 W Gore Blvd, Lawton, OK 73501-3614 | 2007-01-05 |
| 1073660361 | Anadarko Dialysis Inc. | Specialist | 1819 W Gore Blvd, Lawton, OK 73501-3614 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1720036122 | Suhas Damodar Agte | Internal Medicine | 5108 W Gore Blvd, Suite 2, Lawton, OK 73505-6025 | 2006-05-05 |
| 1689863946 | Comanche Nephrology PC | Internal Medicine | 4417 W Gore Blvd, Suite 1, Lawton, OK 73505-5978 | 2007-10-23 |
| 1649478447 | Suhas D Agte Md PC | Internal Medicine | 5108 W Gore Blvd, Suite2, Lawton, OK 73505-6025 | 2007-07-03 |
| 1598896110 | Magdalena Barbara Sikora | Internal Medicine | 4417 W Gore Blvd, Suite 1, Lawton, OK 73505-5978 | 2007-03-07 |
| 1689787780 | Bali Reddy Sodam | Internal Medicine | 4417 W Gore Blvd, Suite 1, Lawton, OK 73505-5978 | 2006-08-16 |
| 1740215235 | Lawton Nephrology | Internal Medicine | 5108 W Gore Blvd, Ste 2, Lawton, OK 73505-6025 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710416573 | Universal Kidney Care of Oklahoma Pllc | Internal Medicine | 5300 N Independence Ave Ste 280, Oklahoma City, OK 73112-5555 | 2017-06-06 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1710393160 | Narisorn Atsava-svate | Internal Medicine | 3400 Nw Expressway Ste 700, Oklahoma City, OK 73112-4492 | 2014-07-07 |
| 1730515362 | Fazal Akbar Ali Md PC | Internal Medicine | 4221 S Western Ave Ste 5020, Oklahoma City, OK 73109-3445 | 2013-09-14 |
| 1902193865 | Andres Rodrigo Caero Romero | Internal Medicine | 2611 Crossroads Dr, Ardmore, OK 73401-2574 | 2011-06-29 |
| 1972740389 | Oklahoma Hypertension and Kidney Center, Plcc | Internal Medicine | 10203 S Canton Ave, Tulsa, OK 74137-6059 | 2009-01-08 |
| 1609030345 | Ahmad Bilal | Internal Medicine | 3366 Nw Expressway #730, Bldg D, Oklahoma City, OK 73112 | 2008-07-11 |
| 1861676736 | Salah Uddin | Internal Medicine | 1923 E 21st St Ste 200, Tulsa, OK 74114-1447 | 2007-12-27 |
| 1932388360 | Robert Wallace King Jr. | Internal Medicine | 14508 Maplelake Dr, Edmond, OK 73013-1863 | 2007-11-02 |
| 1013040898 | Midwest Nephrology Associates PC | Internal Medicine | 1201 S Douglas Blvd Ste K, Midwest City, OK 73130-5263 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
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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.