EKOMOBONG E ESSIEN (NPI# 1457755787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457755787 |
| Entity Type | Individual |
| Full Name | EKOMOBONG E ESSIEN |
| Credential | NP |
| Practice Address |
1901 W Western Ave South Bend IN 46619-3569 |
| Mailing Address |
8003 Castleway Dr Indianapolis IN 46250-1946 |
| Practice Telephone | 5742349033 |
| Practice Fax Number | 8443971310 |
| Mailing Telephone | 3175761335 |
| Mailing Fax Number | 8443971311 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
19247 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q008780 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 Winwood Dr, Ste 105, Lebanon, TN 370871340 | 6154531930 | 6154531848 |
| Street Address |
1901 W WESTERN AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46619-3569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082090 | Jose Dennis Lim | General Practice | 1901 W Western Ave, #b, South Bend, IN 46619-3521 | 2005-09-02 |
| 1619418332 | Susana Lagunas | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3569 | 2017-03-14 |
| 1093146631 | Gertrude Mumba-kaunda | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3569 | 2013-12-09 |
| 1710208012 | Liliana Patricia Ruiz | Pediatrics | 1901 W Western Ave, South Bend, IN 46619-3569 | 2010-06-21 |
| 1538367321 | Su Choo Chang | Pediatrics | 1901 W Western Ave, South Bend, IN 46619-3569 | 2007-07-03 |
| 1528109410 | Carol Louise Sikorski | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3521 | 2007-02-12 |
| 1619914140 | Yahya El-shinnawy | Pediatrics | 1901 W Western Ave, South Bend, IN 46619-3569 | 2006-06-01 |
| 1679567739 | Thomas J Allen | Dentist | 1901 W Western Ave, #b, South Bend, IN 46619-3521 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015103 | Martin's Super Markets, Inc. | Pharmacy | 525 S. Mayflower Rd, South Bend, IN 46619 | 2016-10-31 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1902227911 | Patricia Ann Miller | Counselor | 4218 Western Ave, South Bend, IN 46619 | 2013-12-17 |
| 1740611953 | Cynthia G. Finney | Counselor | 4218 Western Avenue, So Bend, IN 46619 | 2013-12-13 |
| 1437433406 | Angela Nicole Zolvinski | Pharmacist | 4444 W. Western Ave, South Bend, IN 46619 | 2011-10-07 |
| 1871674556 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4600 W Washington St, South Bend, IN 46619 | 2006-10-18 |
| 1942302203 | April Holtgren | Family Medicine | 1901 #b Western Ave, South Bend, IN 46619 | 2006-09-05 |
| 1447737002 | Graciela Jimenez-martinez | Registered Nurse | 1901 #b Western Avenue, South Bend, IN 46619 | 2018-07-25 |
| 1821397878 | Wright Dream | In Home Supportive Care | 706 S Sheridan St, South Bend, IN 46619 | 2011-03-16 |
| 1740439223 | Scott J. Vanslambrouck | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46619 | 2008-09-09 |
| Find all providers in zip 46619 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528431632 | Tracy Lynne Mcneill | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2015-11-11 |
| 1720460314 | Bryan Lee Stowell | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-2808 | 2015-06-19 |
| 1669733887 | Christina Marie Cavinder | Nurse Practitioner | 615 N Michigan St, South Bend, IN 46601-1033 | 2012-06-05 |
| 1942560149 | Staci L. Nekic | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-2808 | 2012-05-21 |
| 1417923756 | Therese Marie Steinmetz | Nurse Practitioner | 100 Navarre Pl, Suite 4440, South Bend, IN 46601-1156 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822844 | Kelsey M Knight | Nurse Practitioner | 705 Riley Hospital Dr Ste 1601, Indianapolis, IN 46202-5109 | 2020-08-21 |
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1700420031 | Randi D Bragg | Nurse Practitioner | Marion Pediatrics, 1411w Bella Drive, Marion, IN 46953-5250 | 2019-10-30 |
| 1659923761 | Elizabeth Marie Bowen | Nurse Practitioner | 13914 Southeastern Pkwy Ste 300, Fishers, IN 46037-7126 | 2019-07-10 |
| 1912462664 | Mindy Kay Krsak | Nurse Practitioner | 3229 Broadway Ste 205, Gary, IN 46409-1038 | 2019-02-06 |
| 1497221154 | Christina Ownbey | Nurse Practitioner | 517 Ball Dr Unit 302, Hanover, IN 47243-9656 | 2018-10-22 |
| 1578056842 | Jenna Elizabeth Bednarski | Nurse Practitioner | 3741 Rome Dr Ste B, Lafayette, IN 47905-4490 | 2018-06-12 |
| 1427594696 | Alecia A Woody | Nurse Practitioner | 3400 Lafayette Rd, Suite 200, Shalom Health Care Center Inc, Indianapolis, IN 46222-1146 | 2017-01-12 |
| 1043688211 | Mary Hendrix | Nurse Practitioner | 3118 S Lafountain St # At, Kokomo, IN 46902-3710 | 2015-09-04 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46619 |
Please comment or provide details below to improve the information on EKOMOBONG E ESSIEN.
| 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.