ROBERT EZEWUIRO (NPI# 1134571334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134571334 |
Entity Type | Individual |
Full Name | ROBERT EZEWUIRO |
Practice Address |
1190 Highway 9 Byp W Lancaster SC 29720-1709 |
Mailing Address |
10800 Knights Rd Philadelphia PA 19114-4200 |
Practice Telephone | 8032851411 |
Mailing Telephone | 2156124000 |
Mailing Fax Number | 2156124069 |
Enumeration Date | 2016-07-12 |
Last Update Date | 2019-08-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
694 | SC | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
694 | SC | Podiatric Medicine & Surgery Service Providers |
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
694 | SC | Podiatric Medicine & Surgery Service Providers |
Street Address |
1190 HIGHWAY 9 BYP W |
City | LANCASTER |
State | SC |
Zip Code | 29720-1709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518930817 | Brandon Scot Percival | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2006-02-08 |
1437503422 | Katlin O'hara Jackson | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2016-04-16 |
1114399813 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2015-10-21 |
1063834646 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2014-01-15 |
1528246311 | Carolina Podiatry Group, Inc. | Durable Medical Equipment & Medical Supplies | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2008-02-05 |
1194902890 | Carolina Podiatry Group, Inc. | Durable Medical Equipment & Medical Supplies | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2008-01-24 |
1013103100 | William Harris Iv | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2007-09-21 |
1427093954 | Carolina Podiatry Group, Inc. | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2006-06-18 |
1124091426 | Julie Welsh Percival | Podiatrist | 1190 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2006-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295342517 | Brandi Breunta Guinyard | Pharmacist | 805 Highway 9, Lancaster, SC 29720 | 2020-09-30 |
1831703172 | Faithful Nurses Healthcare | In Home Supportive Care | 108 D Woodland Park Drive, Lancaster, NC 29720 | 2020-09-03 |
1114568532 | Lancaster Youth Leadership & Development Program | Voluntary or Charitable | 916 15th Street, Lancaster, SC 29720 | 2019-10-07 |
1407320815 | Kristina Marie Medinger | Specialist/Technologist | 4290 Tabernacle Rd, Lancaster, SC 29720 | 2019-01-18 |
1154898179 | Crystal B Clark | Family Medicine | 112 Woodland Drive, Lancaster, SC 29720 | 2018-10-29 |
1104330802 | Community Medicine Foundation, Inc | Clinic/Center | 1906 Highway 521 Bypass, Catawba Community Mental Health Center Lancaster Clinic, Lancaster, SC 29720 | 2017-11-17 |
1467992768 | Endocrinology and Diabetes of The Carolinas LLC | Internal Medicine | 901 West Meeting Street, Suite 205, Lancaster, SC 29720 | 2017-03-06 |
1285080341 | Carolinas Physicians Network, Inc. | Orthopaedic Surgery | 1201-1203 Colonial Commons Court, Lancaster, SC 29720 | 2016-05-09 |
1568827814 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190, Sc-9, Lancaster, SC 29720 | 2015-12-30 |
1023491651 | Karen Mcgarvey | Nurse Practitioner | 333 Sc-9 Bypass, Lancaster, SC 29720 | 2015-07-01 |
Find all providers in zip 29720 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992333967 | Hummel Foot and Ankle LLC | Podiatrist | 1525 Old Schoolhouse Road, Suite 1201, Lancaster, PA 17601 | 2020-03-27 |
1063617645 | Pamela Sauer | Podiatrist | 208 Cool Creek Way, Lancaster, PA 17602-6127 | 2007-06-15 |
1255339651 | Alan Sclafani | Podiatrist | 2183 Oregon Pike, Lancaster, PA 17601-4604 | 2005-07-09 |
1750929378 | The Healthy Foot LLC | Podiatrist | 208 Cool Creek Way, Lancaster, PA 17602-6127 | 2019-12-13 |
1427119262 | Ambulatory Foot Care | Podiatrist | 2700 W Pleasant Run Rd, 360, Lancaster, TX 75146-1079 | 2006-12-13 |
1558441733 | Jane A Pontisso | Podiatrist | 1334 Sheridan Dr, Suite 4, Lancaster, OH 43130-3956 | 2006-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457728032 | Flowertown Podiatry, Inc | Podiatrist | 4340 Ladson Rd Ste C, Ladson, SC 29456-6444 | 2015-08-30 |
1346384971 | John Ksor | Podiatrist | 2502 Broad St, Camden, SC 29020-2238 | 2007-02-16 |
1326007022 | Mark Raymond Kutyla | Podiatrist | 121 Park Place Ct, Lexington, SC 29072-6690 | 2006-03-21 |
1669441895 | Gerard F Rainer | Podiatrist | 148 Milestone Way, Suite A, Greenville, SC 29615-5007 | 2006-03-17 |
1609850122 | Brad A. Lindstrom | Podiatrist | 211 E Butler Rd, Suite A-2, Mauldin, SC 29662-2169 | 2005-11-30 |
1285623827 | Sarah M Jordan | Podiatrist | 1399 John B White Sr Blvd, Spartanburg, SC 29306-3911 | 2005-10-17 |
1194259341 | Matthew Fernandez | Podiatrist | 1012 Physicians Dr, Charleston, SC 29414-5719 | 2017-04-14 |
1336564749 | Oak Tree Podiatry, Pa | Podiatrist | 5 Winchester Ct, Mauldin, SC 29662-2626 | 2014-02-21 |
1265673784 | Hans Blaakman,dpm,llc | Podiatrist | 1575 E Main St, Duncan, SC 29334-9218 | 2009-03-12 |
1467609016 | Gerard F. Rainer Dpm | Podiatrist | 148 Milestone Way, Ste A, Greenville, SC 29615-5007 | 2008-08-26 |
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.