DR. NGOZI K EZEUDE DPM NPI 1902046881

NPI Information

NPI: 1902046881
Provider Name: DR. NGOZI K EZEUDE, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
855 S HIGHLAND AVE
CLEARWATER, FL
ZIP 33756
Phone: (727) 219-1833
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DR. Ngozi K Ezeude, DPM is a foot surgery podiatrist in Clearwater, FL. DR. Ngozi K Ezeude, DPM NPI is 1902046881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

855 S HIGHLAND AVE
CLEARWATER, FL
ZIP 33756
Phone: (727) 219-1833
Fax: (727) 330-2908

The NPI 1902046881 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/4/2009 and was last updated on 10/23/2019.

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
1	213E00000X	Podiatrist		PO3610	FLORIDA	No
2	213ES0131X	Podiatrist	Foot Surgery	PO3610	FLORIDA	Yes

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
1	15159100	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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