MARY EBUEKU-SMITH


Address: Community Physicians of Indiana, Inc, 7150 Clearvista Drive, Indianapolis, IN 46256-1695
Phone: 3176219650

MARY EBUEKU-SMITH (NPI# 1639514805) 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) 1639514805
Entity Type Individual
Full Name MARY EBUEKU-SMITH
Credential MD
Practice Address Community Physicians of Indiana, Inc
7150 Clearvista Drive
Indianapolis
IN 46256-1695
Mailing Address 9955 Buffalo Speedway
Houston
TX 77054-0000
Practice Telephone 3176219650
Practice Fax Number 3176217877
Mailing Telephone 4047919431
Enumeration Date 2013-05-01
Last Update Date 2019-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 121121 AK Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 11591A WY Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine TL4365 WY Allopathic & Osteopathic Physicians
Y 208000000X Pediatrics 01080536A IN Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 11591A WY Allopathic & Osteopathic Physicians
N 208000000X Pediatrics TL4365 WY Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
IN RR MEDICARE P02259015 01
IN 300025385 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
6431 Fannin St, Suite Jjl 310, Houston, TX 770301501 7135005154 7135000612
230 E Marydale Ave, Soldotna, AK 99669 (907) 262-3119 9072607301
Community Physicians of Indiana, Inc, 7150 Clearvista Drive, Indianapolis, IN 462561695 3176219650 3176217877

Office Location

Street Address COMMUNITY PHYSICIANS OF INDIANA, INC
7150 CLEARVISTA DRIVE
City INDIANAPOLIS
State IN
Zip Code 46256-1695

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790316859 Jacob R Weeks Behavior Technician 9769 Crosspointed Blvd, Fishers, IN 46256 2020-01-28
1780236620 Amare Hospice & Palliative Care Family Medicine 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 2019-07-11
1588226864 Accutreat LLC Clinical Medical Laboratory 9661 Crosspoint Blvd, Indianapolis, IN 46256 2019-07-08
1447732557 Kathleen O'hara Marriage & Family Therapist 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 2018-09-05
1205313608 Healing Bridges Counseling, LLC Marriage & Family Therapist 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 2018-07-27
1477062123 Rosalee Ann Miller Social Worker 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 2017-09-26
1760900039 Amye Litherland Registered Nurse 7525 E. 82nd St Ste A, Indianapolis, IN 46256 2017-09-06
1275074239 Jason Dempsey Hearing Instrument Specialist 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 2017-03-10
1578922761 Fresenius Medical Care Indiana, LLC Clinic/Center 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 2016-02-16
1477925071 Samantha Kitcoff Physician Assistant 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 2015-10-22
Find all providers in zip 46256

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447780069 Ann Freshour Pediatrics 575 Riley Hospital Dr Ste Xe-040, Indianapolis, IN 46202-5272 2017-06-15
1700339983 Buria Naeem Pediatrics 705 Riley Hospital Dr Rm 4900, Indianapolis, IN 46202-5109 2016-07-25
1013362839 Christine Nix Pediatrics 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202-5209 2016-04-29
1477915791 Sarah Patton Supples Pediatrics 705 Riley Hospital Dr Roc4340, Indianapolis, IN 46202 2016-03-25
1801283205 Korre Leigh Fairman Pediatrics 1030 W Michigan St Ste C4600, Indianapolis, IN 46202 2015-04-23
1912393240 Dana Nezon Pediatrics Windrose Health Network - Epler Park, 5550 S. East St., Indianapolis, IN 46227 2015-04-14
1922412162 Jodie Meara Pediatrics Riley Children's Hospital Ri 3006 Phase IIi, 705 Riley Hospital Drive, Indianapolis, IN 46202 2014-06-16
1265877690 Kristen Mary Schroeder Pediatrics 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202-2872 2013-04-29
1396189056 Jessica Lucille Horan Pediatrics 699 Riley Hospital Dr, Room Rr 208, Indianapolis, IN 46202-5119 2013-04-24
1841581311 Meaghan Elisabeth Keller Pediatrics 8414 Naab Rd Ste 200, Indianapolis, IN 46260-1972 2011-05-02
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46256

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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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