Eastowne Family Physicians, P.a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EASTOWNE FAMILY PHYSICIANS, P.A

Practice address

4115 The PLZ
Charlotte, NC 28205-1356

Phone

(704) 532-4567

Fax

(704) 532-4580

NPI assigned

Sep 28, 2007

Organization subpart

No

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

Authorized official

Name

Tagbo Ekwonu, MDNPI 1093890535

Title

Medical Director

Phone

(704) 532-4567

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• Direct secure messaging: admin@eastownefamilyphysicians.e-mdsdirect.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FCFGDD
• Direct secure messaging: tagbo-ekwonu@eastownefamilyphysicians.e-mdsdirect.com

Practitioners 4

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

• Tagbo John Ekwonu, M.D.

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1093890535
  Medicare reassignment NPD Authorized official
• Laura Gregory, FNP

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1033722970
  Medicare reassignment NPD
• Lauren Leander Cook, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1154601342
  Medicare reassignment
• Kea Elizabeth Trespalacios, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1538750294
  Medicare reassignment

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1154518678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281061280",
            "telephone_number": "704-532-4567",
            "fax_number": "704-532-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 THE PLZ",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051356",
            "telephone_number": "704-532-4567",
            "fax_number": "704-532-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTOWNE FAMILY PHYSICIANS, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "EKWONU",
        "authorized_official_first_name": "TAGBO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "704-532-4567",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eastover University Obstetrics & Gynecology Associates
• Tracy Lynn Eastridge, RD
• Eastway Medical Clinic & Urgent Care, PLLC
• Eastwind Chiropractic Center
• Cynthia Eaton, NP
• Eatquilibrium LLC

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.