Organization Active NPI

Freedom Ikedionwu, MD, PC

  • Nephrology Physician
  • Lawton, OK
National Provider Identifier
1043512049
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
FREEDOM IKEDIONWU, MD, PC
Practice address
1819 W Gore Blvd
Lawton, OK 73501-3614
Phone
(580) 353-5522
Fax
(580) 248-3042
NPI assigned
Nov 23, 2010
Last updated
Nov 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Freedom Kene Ikedionwu, M.D.
Title
President
Phone
(580) 353-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

1819 W Gore Blvd
Lawton, OK 73501-3614

Mailing address

1819 W Gore Blvd
Lawton, OK 73501-3614
Phone (580) 353-5522

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1043512049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013614",
            "telephone_number": "580-353-5522",
            "fax_number": "580-248-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013614",
            "telephone_number": "580-353-5522",
            "fax_number": "580-248-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM IKEDIONWU, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "IKEDIONWU",
        "authorized_official_first_name": "FREEDOM",
        "authorized_official_middle_name": "KENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-353-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.