ECHEZONA EDOZIE EZEANOLUE (NPI# 1598743254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598743254 |
| Entity Type | Individual |
| Full Name | ECHEZONA EDOZIE EZEANOLUE |
| Credential | M.D. |
| Practice Address |
3006 S Maryland Pkwy 315 Las Vegas NV 89109-2218 |
| Mailing Address |
1701 W Charleston Blvd #215 Las Vegas NV 89102-2325 |
| Practice Telephone | 7029926868 |
| Practice Fax Number | 7029926860 |
| Mailing Telephone | 7026712355 |
| Mailing Fax Number | 7023825388 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2014-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
11027 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | DEA | BE8170526 | 01 |
| NV | STATE PHARMACY | CS13694 | 01 |
| NV | 100506925 | 05 |
| Street Address |
3006 S MARYLAND PKWY 315 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982079 | Ronald Kirby Reed | Psychiatry & Neurology | 3006 S Maryland Pkwy, Ste 460, Las Vegas, NV 89109-2235 | 2005-06-14 |
| 1750818373 | Infectologists of Nevada, LLC | Internal Medicine | 3006 S Maryland Pkwy, Suite 780, Las Vegas, NV 89109-2218 | 2017-05-12 |
| 1992231500 | Gary Skankey, Md, PC | Internal Medicine | 3006 S Maryland Pkwy, Suite 780, Las Vegas, NV 89109-2218 | 2017-05-03 |
| 1578099180 | Elmer G Palitang, Md, PC | Internal Medicine | 3006 S Maryland Pkwy, Suite 780, Las Vegas, NV 89109-2218 | 2017-05-03 |
| 1467993295 | Jerome F Hruska, Md, Ltd | Internal Medicine | 3006 S Maryland Pkwy, Suite 780, Las Vegas, NV 89109-2218 | 2017-03-13 |
| 1679905509 | Ebla Hospitalists Group, LLC | Internal Medicine | 3006 S Maryland Pkwy, Suite 400, Las Vegas, NV 89109-2218 | 2013-08-02 |
| 1013350222 | Ikram U Khan | Surgery | 3006 S Maryland Pkwy, Suite 465, Las Vegas, NV 89109-2218 | 2013-04-08 |
| 1790099810 | Tina W Kwan | Pediatrics | 3006 S Maryland Pkwy, Suite 690, Las Vegas, NV 89109-2218 | 2010-07-30 |
| 1366760480 | Mia R Rios | Registered Nurse | 3006 S Maryland Pkwy, Suite 690, Las Vegas, NV 89109-2218 | 2010-05-13 |
| 1104144229 | Sammie K Yamagata | Registered Nurse | 3006 S Maryland Pkwy, Suite 690, Las Vegas, NV 89109-2218 | 2010-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851862288 | Community Care Services LLC | Pediatrics | 1343 Newlands Dr W, Fernley, NV 89408-8926 | 2018-12-11 |
| 1487125977 | Community Care Services LLC | Pediatrics | 75 Pringle Way Ste 505, Reno, NV 89502-1469 | 2018-12-10 |
| 1629238332 | Sara Anne Healy | Pediatrics | 75 Pringle Way Ste 505, Reno, NV 89502-1469 | 2008-06-16 |
| 1164561734 | Trudy Larson | Pediatrics | 580 W 5th St, 12c, Reno, NV 89503-4407 | 2007-02-06 |
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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.