EMMANUEL CHUKWELO EDOKA (NPI# 1598857682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598857682 |
| Entity Type | Individual |
| Full Name | EMMANUEL CHUKWELO EDOKA |
| Credential | M.D |
| Practice Address |
2911 Medical Arts St Ste 7 Austin TX 78705-3302 |
| Practice Telephone | 5123220800 |
| Practice Fax Number | 5123220800 |
| Mailing Telephone | 5123220800 |
| Mailing Fax Number | 5123220800 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
J4786 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 00K87X | 01 |
| TX | 135683409 | 05 |
| Street Address |
2911 MEDICAL ARTS ST STE 7 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123938 | Sridhar Patlolla Reddy | Specialist | 2911 Medical Arts St, Ste 9, Austin, TX 78705-3302 | 2005-06-09 |
| 1740800036 | Sheeba Manayampilly Thomas | General Practice | 2911 Medical Arts St, Austin, TX 78705-3376 | 2020-04-16 |
| 1710301874 | Flora Medical Clinic-pllc | Clinic/Center | 2911 Medical Arts St, Ste #7, Austin, TX 78705-3376 | 2014-02-10 |
| 1497189120 | Kristi Mckenzie, M.d., P.a. | Obstetrics & Gynecology | 2911 Medical Arts St, Building 6, Austin, TX 78705-3376 | 2013-08-29 |
| 1881932564 | Lindsay Darlene Ramirez | Registered Nurse | 2911 Medical Arts St, Suite 20, Austin, TX 78705-3376 | 2013-01-30 |
| 1447598693 | Merrick Mcmains, Md, Pa | Pediatrics | 2911 Medical Arts St, Suite 20, Austin, TX 78705-3376 | 2013-01-23 |
| 1811257801 | Christie Mileur | Obstetrics & Gynecology | 2911 Medical Arts St, Building 3, Austin, TX 78705-3376 | 2012-05-23 |
| 1417232570 | Caroline Cohen Pa | Obstetrics & Gynecology | 2911 Medical Arts St, Suite 3, Austin, TX 78705-3376 | 2011-10-19 |
| 1518245521 | Kimberly Kjome, Md, Pa | Psychiatry & Neurology | 2911 Medical Arts St, Building 7, Austin, TX 78705-3376 | 2011-07-25 |
| 1215225032 | Yu-han Virginia Hu | Obstetrics & Gynecology | 2911 Medical Arts St, Bldg 3, Austin, TX 78705-3376 | 2011-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841634854 | Michael L. Krol | Internal Medicine | 1108 Lavaca St Ste 110-320, Austin, TX 78701-2172 | 2013-04-20 |
| 1558530048 | Denise Rene Moraw | Internal Medicine | 9007 Rock Way Dr, Austin, TX 78736-7731 | 2008-02-28 |
| 1548319916 | Leslie Ludwig Cortes | Internal Medicine | 12401 Research Blvd Ste 220, Austin, TX 78759-2314 | 2007-01-09 |
| 1679598718 | Peggy M Russell | Internal Medicine | 1108 Lavaca St, 110-320, Austin, TX 78701-2172 | 2006-07-12 |
| 1669469235 | Mary S Maxwell | Internal Medicine | 4107 Medical Pkwy Ste 210, Austin, TX 78756-3738 | 2005-09-29 |
| 1780681163 | George Randolph Robison | Internal Medicine | 1000 Payton Gin Rd, Ste S, Austin, TX 78758-6766 | 2005-06-30 |
| 1558789487 | Joan E Lange | Internal Medicine | 1108 Lavaca St Ste 110-320, Austin, TX 78701-2172 | 2014-03-28 |
| 1063774602 | Steven K. Booton, M.d., P.a. | Internal Medicine | 720 W 34th St, Suite 100, Austin, TX 78705-1205 | 2012-06-11 |
| 1013247980 | Harden Clinical Services LLC | Internal Medicine | 3307 Northland Dr, Austin, TX 78731-4946 | 2009-12-28 |
| 1801055587 | Sarah Elizabeth Matt | Internal Medicine | 6448 E Hwy 290, Suite # D-103, Austin, TX 78723-1068 | 2008-06-06 |
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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.