IFEANYI EMMANUEL ELUEZE


Address: 103 W Loop 281, Suite 700, Longview, TX 75605-4653
Phone: 9033155600

IFEANYI EMMANUEL ELUEZE (NPI# 1396734802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396734802
Entity Type Individual
Full Name IFEANYI EMMANUEL ELUEZE
Credential MD PHD
Practice Address 103 W Loop 281
Suite 700
Longview
TX 75605-4653
Mailing Address Po Box 4207
Longview
TX 75606-4207
Practice Telephone 9033155600
Practice Fax Number 9033152757
Mailing Telephone 9033155600
Mailing Fax Number 9033152757
Enumeration Date 2005-10-18
Last Update Date 2013-09-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine P0046 TX Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 35073719 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 2064788 05

Office Location

Street Address 103 W LOOP 281
SUITE 700
City LONGVIEW
State TX
Zip Code 75605-4653

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821475591 Bhh of Gregg County and Region, LLC Home Health 103 W Loop 281, Suite 440, Longview, TX 75605-4653 2015-05-01
1508020678 Bobbi Jean Dodge Physical Therapy Assistant 103 W Loop 281, Suite 800, Longview, TX 75605-4653 2008-07-17
1437337011 Brandon Ward Lambie Physical Therapist 103 W Loop 281, Suite 800, Longview, TX 75605-4653 2008-02-05
1174714737 April Gatson, Md Family Medicine 103 W Loop 281, Suite 750, Longview, TX 75605-4653 2007-08-07
1083735328 Kevin Johns Physical Therapist 103 W Loop 281, Suite 800, Longview, TX 75605-4653 2007-04-03
1518086024 Orthodontic Centers of Texas Dentist 103 W Loop 281, Suite 462, Longview, TX 75605-4653 2007-03-28
1952429482 Jane B. Ball Physical Therapist 103 W Loop 281, Longview, TX 75605-4653 2007-03-26
1417074055 Kathryn Sue Langford Occupational Therapist 103 W Loop 281, Suite 800, Longview, TX 75605-4653 2007-03-26
1922123785 Kyle Fitzgerald Lybarger Physical Therapist 103 W Loop 281, Longview, TX 75605-4653 2007-03-20
1881719623 Lana Kay Wilson Physical Therapist 103 W Loop 281, Suite 800, Longview, TX 75605-4653 2007-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194353730 Dusty Rae Hane Nurse Practitioner Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 2020-03-30
1831720374 Kaycee Whatley Nurse Practitioner 323 W Hawkins Parkway, Longview, TX 75605 2020-02-03
1245733492 Somers Pediatrics Pediatrics 103 W. Loop 281, Suite 474, Longview, TX 75605 2018-03-14
1467838391 Piney Woods Er II LLC Clinic/Center 120 East Loop 281, Longview, TX 75605 2015-08-03
1386023968 Elizabeth Ann Heeb Tidwell Obstetrics & Gynecology 802 Medical Dr Ste 100, Longview, TX 75605 2015-05-28
1215353651 Tracy Hicks Nurse Practitioner 102 Commander Dr Ste 9, Longview, TX 75605 2014-03-10
1073881280 Deirdre Scotter Specialist/Technologist 201 E Tomlinson Pkwy, Longview, TX 75605 2011-12-02
1316230139 Traditions Hospice of Longview, LLC Hospice Care, Community Based 4362 N Us Hwy 259, Suite B, Longview, TX 75605 2011-05-26
1184916769 Telema Dikibujiri Nga Pediatrics Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 2011-05-13
1902101108 The Veta Lewis Behavioral Health Group Counselor 1800 S. Judson St., Suite 100, Longview, TX 75605 2011-01-19
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841843075 Mhpc Dallas Pllc Internal Medicine 3080 N Eastman Rd Ste 101, Longview, TX 75605-7978 2019-07-17
1306210620 Edward Eugene Smith Md Internal Medicine 240 Imperial Dr, Longview, WA 98632-0704 2015-11-24
1972992683 Sarat Jampana LLC Internal Medicine 1202 Secluded Ln, Longview, TX 75604-2859 2015-01-19
1801208673 Makona Snf, LLC Internal Medicine 1016 Riverwood Dr, Longview, TX 75604-6229 2014-05-28
1093145070 Raj Kumar Akula Internal Medicine 1130 E Hawkins Pkwy, Apt 6301, Longview, TX 75605-8002 2013-11-12
1558705814 Jessica Small Garner Internal Medicine 701 E Marshall Ave Ste 200, Longview, TX 75601-5544 2013-04-17
1730453051 Wendell D. Daniels M.d., P.a. Internal Medicine 515 N. 3rd St., Longview, TX 75606 2012-03-05
1467689158 Helen C Daniel Internal Medicine 802 Medical Dr Ste 201, Longview, TX 75605-5202 2009-06-19
1235394487 Nishit Kumar Srivastava Internal Medicine 701 E Marshall Ave Ste 400, Longview, TX 75601-5595 2008-07-26
1649459595 Sanjay G Reddy Internal Medicine 802 Medical Dr Ste 205, Longview, TX 75605-5208 2007-10-29
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Competitor

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City LONGVIEW
Zip Code 75605

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Dataset Information

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.

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