STANLEY EZIUKWU


Address: 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118
Phone: 3144491143

STANLEY EZIUKWU (NPI# 1669901450) 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) 1669901450
Entity Type Individual
Full Name STANLEY EZIUKWU
Credential MD
Practice Address 3535 S Jefferson Ave Ste 104
Saint Louis
MO 63118
Mailing Address 4802 10th Ave
Brooklyn
NY 11219-2916
Practice Telephone 3144491143
Enumeration Date 2017-06-06
Last Update Date 2018-06-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 3535 S JEFFERSON AVE STE 104
City SAINT LOUIS
State MO
Zip Code 63118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568062669 Uche Olateru Nurse Practitioner 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118-3907 2020-10-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770149023 Clouds of Care In-home Healthcare Services LLC Hospice Care, Community Based 3450 Magnolia Ave, Saint Louis, MO 63118 2019-05-13
1154839488 Serenity Gardens Home Health Services LLC. Home Health 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 2018-01-22
1861917759 Freedom Day Center, LLC Meals 3309 Meramec Street, Saint Louis, MO 63118 2017-08-11
1467987651 Hinna Shahid Internal Medicine 3545 South Jefferson Ave, St. Louis, MO 63118 2017-04-25
1225436959 Shelley Stretch Counselor 4066 Dunnica Avenue, St. Louis, MO 63118 2014-12-11
1821406174 Preferred Family Healthcare, Inc Substance Abuse Rehabilitation Facility 4066 Dunnica, Saint Louis, MO 63118 2014-07-31
1275898173 Stephanie Lynn Cullinan Optometrist 3122 S Grand, St. Louis, MO 63118 2012-07-07
1174822555 Morgan Patrick Morris Chiropractor 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 2011-03-24
1043481955 Victor Rivera Md LLC Obstetrics & Gynecology 3535 S Jefferson, Suite 106, St Louis, MO 63118 2008-03-19
1659576205 Forest Park Pharmacy Pharmacy 3535 S. Jefferson Ave, Ste (s-1), St Louis, MO 63118 2007-06-15
Find all providers in zip 63118

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245845908 Ali Hamzehloo Student in an Organized Health Care Education/Training Program 1155 Appleseed Ln Unit D, Saint Louis, MO 63132-3239 2020-09-10
1114539137 Brooke Marissa Tubbs Student in an Organized Health Care Education/Training Program 5135 Redstone Rd, Saint Louis, MI 48880-9602 2020-08-20
1508475245 Irfan Yasin Student in an Organized Health Care Education/Training Program 1402 S Grand Blvd Dept Of, Saint Louis, MO 63104-1004 2020-07-29
1457978231 Katherine Coates Student in an Organized Health Care Education/Training Program 4534 Olive St Apt 306, Saint Louis, MO 63108-1869 2020-06-29
1184248437 Catherine Gaines Student in an Organized Health Care Education/Training Program 362 S Maple Ave, Saint Louis, MO 63119-3824 2020-06-02
1922620947 Nicole Werner Student in an Organized Health Care Education/Training Program 9669 Amona Ct, Saint Louis, MO 63123-6535 2020-05-13
1043831787 Reed Welch Student in an Organized Health Care Education/Training Program 1501 Fairmount Ave, Saint Louis, MO 63139-3628 2020-05-05
1437779097 Victoria Emanuelson Student in an Organized Health Care Education/Training Program 4048 Cleveland Ave Apt 3w, Saint Louis, MO 63110-3958 2020-04-23
1831727502 Kiran Ashok Patel Student in an Organized Health Care Education/Training Program 4050 W Pine Blvd Apt 3311b, Saint Louis, MO 63108-3294 2020-03-30
1699301507 Morgann Madill Student in an Organized Health Care Education/Training Program 4144 De Tonty St Apt 1d, Saint Louis, MO 63110-2511 2020-03-23
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63118

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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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