JOSIAH EKUNNO MEDICAL CORPORATION (NPI# 1861719601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861719601 |
| Entity Type | Organization |
| Organization Name | JOSIAH EKUNNO MEDICAL CORPORATION |
| Practice Address |
11125 Dunn Rd Suite 202 Saint Louis MO 63136-6132 |
| Practice Telephone | 3143556218 |
| Practice Fax Number | 3143551092 |
| Mailing Telephone | 3143556218 |
| Mailing Fax Number | 3143551092 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |
| Authorized Official Name | DR. JOSIAH O EKUNNO (PRESIDENT) |
| Authorized Official Telephone | 3143556218 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35803 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200927101 | 05 |
| Street Address |
11125 DUNN RD SUITE 202 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617294 | Morin Michael Hanson | Surgery | 11125 Dunn Rd, Ste 402, Saint Louis, MO 63136-6132 | 2005-05-23 |
| 1033612502 | Casey Wikiera | Counselor | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2018-03-12 |
| 1457707705 | Renee Mcdonald | Nurse Practitioner | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6132 | 2016-05-05 |
| 1518320001 | Emily Rutledge | Case Manager/Care Coordinator | 11125 Dunn Rd, Suite 201, Saint Louis, MO 63136-6132 | 2016-04-01 |
| 1881060812 | Victoria Fisher | Counselor | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2015-08-13 |
| 1942676101 | Nicole Willmering | Community Health Worker | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2015-08-11 |
| 1457746125 | Claudia Bledsoe | Case Manager/Care Coordinator | 11125 Dunn Rd, Professional Bulding #2 Suite 201, Saint Louis, MO 63136-6132 | 2015-03-31 |
| 1295146744 | Carnecia Cole | Pharmacist | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2014-05-17 |
| 1073923413 | Veronica Smotherson | Case Manager/Care Coordinator | 11125 Dunn Rd, Professional Office Building #2, Saint Louis, MO 63136-6132 | 2014-05-07 |
| 1366862781 | Yi Jiang | Social Worker | 11125 Dunn Rd, Saint Louis, MO 63136-6132 | 2014-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497381990 | Styles 40 Salon | Specialist | 4550 Gravois Ave, Saint Louis, MO 63116-2426 | 2020-03-16 |
| 1013560721 | Against The Grainz | Specialist | 8523 Drury Ln, Saint Louis, MO 63147-1313 | 2019-07-22 |
| 1487211033 | Kia Lanay Lewis | Specialist | 9700 Portage Dr, Saint Louis, MO 63136-5312 | 2019-05-20 |
| 1376011007 | Lashonda S Wash | Specialist | 222 Bruce Ave, Saint Louis, MO 63135-2704 | 2018-11-12 |
| 1326516048 | Showna Walker | Specialist | 2242 Berwyn Dr, Saint Louis, MO 63136-5415 | 2018-11-12 |
| 1760973697 | Angela Haas | Specialist | 1361 Childress Ave, Saint Louis, MO 63139-3451 | 2018-05-26 |
| 1962907782 | Kelsey Conley | Specialist | 2839 Howard St, Saint Louis, MO 63106-2027 | 2018-03-25 |
| 1285135848 | Che Salon | Specialist | 8416 Olive Blvd, Saint Louis, MO 63132-2816 | 2018-02-27 |
| 1790225084 | Michael Bergman | Specialist | 6327 S Grand Blvd, Apt 1g, Saint Louis, MO 63111-2653 | 2017-03-06 |
| 1275082406 | Tim Fick | Specialist | 5157 Lemay Ferry Rd, Saint Louis, MO 63129-1533 | 2016-09-29 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63136 |
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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.