Organization Active NPI

Effiok Ekpenyong, M.D. PLLC

  • Family Medicine Physician
  • Royse City, TX
National Provider Identifier
1073052866
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q6001 Issued in TX
Legal business name
EFFIOK EKPENYONG, M.D. PLLC
Practice address
2408 Perdenales Dr
Royse City, TX 75189-5075
Phone
(214) 282-5055
Fax
(972) 248-3198
NPI assigned
Feb 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Effiok S Ekpenyong, M.D.
Title
President
Phone
(214) 282-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Q6001 TX Primary

Addresses

Primary practice location

2408 Perdenales Dr
Royse City, TX 75189-5075

Mailing address

2408 Perdenales Dr
Royse City, TX 75189-5075
Phone (214) 282-5055

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1073052866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 PERDENALES DR",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751895075",
            "telephone_number": "214-282-5055",
            "fax_number": "972-248-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 PERDENALES DR",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751895075",
            "telephone_number": "214-282-5055",
            "fax_number": "972-248-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFIOK EKPENYONG, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "EKPENYONG",
        "authorized_official_first_name": "EFFIOK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-282-5055",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q6001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royse City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.