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DR. ELIAS N EZIKE MD NPI 1811902307


NPI Information

NPI: 1811902307
Provider Name: DR. ELIAS N EZIKE, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 45D2114527

Address:
710 S 8TH ST STE A
BEAUMONT, TX
ZIP 77701
Phone: (409) 838-9944
Get Directions

DR. Elias N Ezike, MD is a pediatrics in Beaumont, TX. The provider is 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. DR. Elias N Ezike, MD NPI is 1811902307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

710 S 8TH ST STE A
BEAUMONT, TX
ZIP 77701-680
Phone: (409) 838-9944
Fax: (409) 838-9086

The CLIA number assigned to this NPI record is 45D2114527 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 6/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics052430GEORGIANo
2208000000XPediatrics4301076996MICHIGANNo
32080P0208XPediatricsPediatric Infectious DiseasesM4774TEXASNo
4208000000XPediatricsM4774TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1193069506MEDICAIDTEXAS
2990624171AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.