IKENNA I EZUMBA (NPI# 1619167202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619167202 |
| Entity Type | Individual |
| Full Name | IKENNA I EZUMBA |
| Credential | MD |
| Practice Address |
826 Washington Rd Ste 205 Westminster MD 21157-5780 |
| Practice Telephone | 4103869099 |
| Practice Fax Number | 4103869098 |
| Mailing Telephone | 4103869099 |
| Mailing Fax Number | 4103869098 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2019-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | D0066394 | MD | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 10655 | ND | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
D0066394 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
826 WASHINGTON RD STE 205 |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-5780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982172169 | Maryland Kidney Care LLC | Internal Medicine | 826 Washington Rd Ste 205, Westminster, MD 21157-5780 | 2018-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1033174123 | Tapendu Basu | Internal Medicine | 680 Poole Rd, Suite B, Westminster, MD 21157-6003 | 2006-04-20 |
| 1053386011 | Mokhtar N Nasir | Internal Medicine | 826 Washington Road, Suite 100, Westminster, MD 21157-5779 | 2006-02-22 |
| 1760473250 | Matthew L. Esson | Internal Medicine | 8410 Decatur St, Westminster, CO 80031-3811 | 2005-11-02 |
| 1154312643 | Susan V. Yue | Internal Medicine | 8410 Decatur Street, Westminster, CO 80031-3811 | 2005-11-02 |
| 1306843602 | Joseph G Abdallah | Internal Medicine | 8410 Decatur St Ste 100, Westminster, CO 80031-3811 | 2005-06-30 |
| 1316552847 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 8410 Decatur St Ste 100, Westminster, CO 80031-3811 | 2020-09-11 |
| 1982172169 | Maryland Kidney Care LLC | Internal Medicine | 826 Washington Rd Ste 205, Westminster, MD 21157-5780 | 2018-11-06 |
| 1497011944 | Katherine Mccrary Akers | Internal Medicine | 8410 Decatur St Ste 100, Westminster, CO 80031-3811 | 2012-04-10 |
| 1699918318 | Tapendu K Basu Md | Internal Medicine | 680 Poole Rd, Ste B, Westminster, MD 21157-6003 | 2009-04-10 |
| 1144425943 | Mokhtar Nasir Md Pa | Internal Medicine | 826 Washington Road, Suite 100, Westminster, MD 21157-5779 | 2007-06-20 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
Please comment or provide details below to improve the information on IKENNA I EZUMBA.
| 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.