Ezugha Pediatric Neurology and Associates PC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

EZUGHA PEDIATRIC NEUROLOGY AND ASSOCIATES PC

Practice address

2500 Wigwam Pkwy Ste 111
Henderson, NV 89074-7113

Phone

(702) 852-1155

NPI assigned

Aug 14, 2019

Last updated

Aug 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Herbert Ezugha, MDNPI 1871758649

Title

Owner

Phone

(407) 775-5035

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Herbert Osita Ezugha, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Henderson, NV
  • NPI 1871758649
  Authorized official Same address or phone

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1184270258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WIGWAM PKWY STE 111",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747113",
            "telephone_number": "702-852-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WIGWAM PKWY STE 111",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747113",
            "telephone_number": "702-852-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZUGHA PEDIATRIC NEUROLOGY AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "EZUGHA",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-775-5035",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excellent Healing Solutions Texas LLC
• Expressive Edge LLC
• Eye Options Inc. (Eye Options)
• Eye Site (The Eyesite of Anthem)
• Leslie Joy Ezpeleta
• Amara Ezugha
• Herbert Osita Ezugha, M.D.
• F and G ABA
• Itzel Fabian-Palafox
• Wildaline Fabian

• Neurology with Special Qualifications in Child Neurology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.