Nowokere Esemuede, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

ME111375 Issued in FL

Practice address

240 N Wickham Rd
Suite 204
Melbourne, FL 32935-8662

Phone

(321) 752-1540

Fax

(321) 752-1558

NPI assigned

Jul 21, 2005

Last updated

Sep 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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 FL

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

Locations

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

• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495

  FL

  Medicare reassignment NPD
• Steward Medical Group, Inc.

  • Urology Physician
  • Cocoa, FL
  • NPI 1104367630
  NPD
• Centra Health Inc

  • General Acute Care Hospital
  • Lynchburg, VA
  • NPI 1770693939
  NPD (past)
• Southside Community Hospital, Inc.

  dba Centra Southside Community Hospital

  • General Acute Care Hospital
  • Farmville, VA
  • NPI 1518952761
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1184624041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11406",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154005",
            "telephone_number": "321-752-1540",
            "fax_number": "321-752-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD",
            "address_2": "SUITE 204",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358662",
            "telephone_number": "321-752-1540",
            "fax_number": "321-752-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESEMUEDE",
        "first_name": "NOWOKERE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME111375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004201900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Ertel, MPT
• Joaquin Escalante, CSA
• Vanessa Escobar Benitez
• Jennifer Escobar Diaz, MD
• Maria R Escobedo, RPHT
• Elay'Ja Espada
• Tanya Jenise Espinosa, M.S.
• Erick Espinoza, MSN, FNP-BC
• Renee Espinoza, CRNA
• Christy Lee Estes, PHD

• Vascular Surgery Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.