Carmelita Chinyere Eburuche, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

74835 Issued in FL

Practice address

918 Rolling Acres Rd
Suite #8
Lady Lake, FL 32159-5027

Phone

(352) 750-6358

Fax

(352) 750-6329

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alegent Creighton Clinic

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1548287907
  NPD (past)
• Alegent Creighton Clinic

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1598811069

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1174639348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 ROLLING ACRES RD",
            "address_2": "SUITE #8",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321595027",
            "telephone_number": "352-750-6358",
            "fax_number": "352-750-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 ROLLING ACRES RD",
            "address_2": "SUITE #8",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321595027",
            "telephone_number": "352-750-6358",
            "fax_number": "352-750-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBURUCHE",
        "first_name": "CARMELITA",
        "middle_name": "CHINYERE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "74835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00415689",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikki Prem Duggal, PHARMD
• Garry L Dulgar, DC
• Shawanna Annette Dupree
• Juliann Dwares, ARNP
• Adrian James Easterling, PA-C
• Carmen M Echevarria Meletiche, MD
• Sushruth Edla, M.D.
• Kelli Ann Egli, PA-C
• Ada Esther Eldridge, RN
• Ann-Marie Alice Elia, MA, CCC-SLP

• Internal Medicine Physician in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.