MARK R. EZEKIEL, M.D., A MEDICAL CORPORATION (NPI# 1255528857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255528857 |
| Entity Type | Organization |
| Organization Name | MARK R. EZEKIEL, M.D., A MEDICAL CORPORATION |
| Practice Address |
5750 Downey Ave Suite 306 Lakewood CA 90712-1405 |
| Mailing Address |
2711 N Sepulveda Blvd #320 Manhattan Beach CA 90266-2725 |
| Practice Telephone | 3103623162 |
| Mailing Telephone | 3103623162 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2009-06-09 |
| Authorized Official Name | DR. MARK R EZEKIEL (PRESIDENT) |
| Authorized Official Telephone | 3103623162 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G72866 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5750 DOWNEY AVE SUITE 306 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518927540 | Josephine B Saad | Obstetrics & Gynecology | 5750 Downey Ave, Suite 201, Lakewood, CA 90712-1405 | 2006-03-24 |
| 1902331861 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1405 | 2017-04-27 |
| 1588030951 | Prohealth Partners A Medical Group Inc | Family Medicine | 5750 Downey Ave, Suite 206, Lakewood, CA 90712-1405 | 2015-08-19 |
| 1760747273 | Tms Wellness Group | Psychiatry & Neurology | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1405 | 2012-07-10 |
| 1720249691 | James Anthony Kim | Anesthesiology | 5750 Downey Ave, Suite 306, Lakewood, CA 90712-1405 | 2008-06-23 |
| 1902098304 | Gary L Baker Md A Professional Corporation | Specialist | 5750 Downey Ave, Suite 306, Lakewood, CA 90712-1405 | 2007-08-10 |
| 1093848509 | Prohealth Partners, A Medical Group | Dermatology | 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1405 | 2007-03-13 |
| 1588712541 | Jose Mendoza | Pediatrics | 5750 Downey Ave, Suite 204, Lakewood, CA 90712-1405 | 2007-01-08 |
| 1568526689 | Edgar A Abbes | Podiatrist | 5750 Downey Ave, Suite 203, Lakewood, CA 90712-1405 | 2006-12-21 |
| 1194898130 | Soad A Salam | Physical Therapist | 5750 Downey Ave, Suite 301, Lakewood, CA 90712-1405 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| 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 |
|---|---|---|---|---|
| 1942819578 | Catholic Health Initiatives Colorado | Anesthesiology | 11700 W 2nd Pl Ste 225, Lakewood, CO 80228-1707 | 2020-07-29 |
| 1033300140 | Jack B Rentz | Anesthesiology | 300 Union Blvd, Suite 260, Lakewood, CO 80228-1535 | 2007-08-05 |
| 1881664944 | Bradley D Vilims | Anesthesiology | 325 Teller St, Suite 240, Lakewood, CO 80226-1606 | 2006-01-23 |
| 1487630059 | Robert E Brown | Anesthesiology | 12596 W Bayaud Ave Ste 205, Lakewood, CO 80228-2000 | 2005-12-15 |
| 1790785921 | Moises Kaweblum | Anesthesiology | 500 River Ave, Suite 255, Lakewood, NJ 08701-4738 | 2005-07-29 |
| 1427695881 | Regeneration, LLC | Anesthesiology | 12596 W Bayaud Ave Ste 205, Lakewood, CO 80228-2000 | 2019-12-04 |
| 1851719421 | Andrew Koogler | Anesthesiology | 11306 Bridgeport Way Sw Ste D, Lakewood, WA 98499-3037 | 2014-04-01 |
| 1265674287 | Marchyarn Mahathanaruk | Anesthesiology | 300 Union Blvd, Suite 600, Lakewood, CO 80228-1535 | 2009-04-06 |
| 1720249691 | James Anthony Kim | Anesthesiology | 5750 Downey Ave, Suite 306, Lakewood, CA 90712-1405 | 2008-06-23 |
| 1346453081 | David Chang, Md, Inc | Anesthesiology | 3700 South St, Lakewood, CA 90712-1419 | 2007-05-08 |
| Find all providers in LAKEWOOD | ||||
Please comment or provide details below to improve the information on MARK R. EZEKIEL, M.D., A MEDICAL CORPORATION.
| 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.