DR. DANIEL EMEKA EZEKWUDO


Address: 10310 The Grove Blvd, Baton Rouge, LA 70836
Phone: 2257615200

DR. DANIEL EMEKA EZEKWUDO (NPI# 1942649769) 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) 1942649769
Entity Type Individual
Full Name DR. DANIEL EMEKA EZEKWUDO
Credential M.D
Practice Address 10310 The Grove Blvd
Baton Rouge
LA 70836
Mailing Address 1514 Jefferson Hwy
New Orleans
LA 70121-2429
Practice Telephone 2257615200
Practice Fax Number 2257615508
Mailing Telephone 5048424000
Enumeration Date 2013-06-15
Last Update Date 2019-08-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 4301103358 MI Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
312611 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1942649769 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
718 N Macomb St, Monroe, MI 481627815 7342408927 7342404424

Office Location

Street Address 10310 THE GROVE BLVD
City BATON ROUGE
State LA
Zip Code 70836

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407848443 Ochsner Clinic LLC Oral & Maxillofacial Surgery 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 2005-08-16
1326663204 Hannah Jumonville Speech-Language Pathologist 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 2020-06-16
1881216802 Kitzia Baxter Social Worker 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 2020-05-13
1508499252 Danielle Webster Nurse Practitioner 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 2020-02-20
1437794609 Mary Catherine Halphen Dietitian, Registered 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 2019-11-12
1124682273 Katherine Crifasi Cash Dietitian, Registered 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 2019-04-24
1487119632 Shelby Heltz Ledet Specialist/Technologist 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 2019-02-01
1578000816 Brittni Tullier Dietitian, Registered 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 2017-01-25
1447612320 Jessica T. Chu Dermatology 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 2016-03-22
1558780940 Maverick Joseph Leblanc Radiology 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 2014-04-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386154284 Feliciana Physical Therapy Services, LLC Occupational Therapist 10299t Creekbend Drive, Baton Rouge, LA 70836 2017-10-05
1346395753 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 6401 Bluebonnet Blvd Ste 5050, Baton Rouge, LA 70836 2007-01-24
1891313078 Camille Alexis Merendino Speech-Language Pathologist 9511 Crestview Drive, Ste B, Baton Rough, LA 70836 2020-07-14
1932739984 Senior Therapy Solutions, LLC Occupational Therapist 9511 Crestview Drive, Suite B, Baton Rouge, LA 70836 2020-01-17
1508829599 Elizabeth Clubb, Apmc Specialist Bluebonnet Blvd, Suite A, Baton Rouge, LA 70836-1206 2006-04-10
1417281908 Latonyia J Hewett Physical Therapist 9511 Crestview Drive, Ste B, Baton Rouge, LA 70836-3246 2009-09-30
1609218890 Brett J Carlin Optometrist 6401 Bluebonnet Blvd # 2192, Baton Rouge, LA 70836-6401 2013-07-29
1568690402 Tara Leblanc Optometrist 6401 Bluebonnet Blvd, Suite 2192, Baton Rouge, LA 70836-6401 2009-06-30
1245544675 Capital Eyes LLC Optometrist 6401 Bluebonnet Blvd, Suite#2192, Baton Rouge, LA 70836-6401 2010-07-27
1225345127 Northland Hearing Centers Inc Audiologist-Hearing Aid Fitter 6501 Bluebonnet Blvd, Baton Rouge, LA 70836-6500 2010-09-13
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265713572 Shaista H. Faruqui, M.d. Apmc Internal Medicine 5320 Dijon Dr, Baton Rouge, LA 70808-4313 2011-08-31
1477601417 Brian Gill Barnett Internal Medicine 17050 Medical Center Drive, Physician Plaza II 4th Floor, Baton Rouge, LA 70816 2007-01-08
1861489783 Shaista Hoda Faruqui Internal Medicine 5320 Dijon Drive, Baton Rouge, LA 70808-4395 2005-10-05
1902809692 Deborah M Johnson Internal Medicine 4950 Essen Ln Ste 300, Baton Rouge, LA 70809-3739 2005-05-27
1982155867 Baton Rouge General Medical Center Internal Medicine 8595 Picardy Ave, Suite 400, Baton Rouge, LA 70809-3670 2016-10-17
1275971475 Jeanette M Kovtun Internal Medicine 4950 Essen Ln Ste 500, Baton Rouge, LA 70809 2013-06-10
1629334347 Sobia Ozair Internal Medicine 4950 Essen Ln Ste 300, Baton Rouge, LA 70809 2012-04-06
1871754028 Radhika M. Thorn Internal Medicine 9001 Summa Ave, Baton Rouge, LA 70809-3726 2008-06-20
1972795250 Joseph Ryan Shows Internal Medicine 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 2007-08-10
1194916650 Lauren Zatarain Internal Medicine 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 2007-08-08
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Competitor

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City BATON ROUGE
Zip Code 70836

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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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