Kejo Medical PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KEJO MEDICAL PLLC

Doing business as

Marion Primary Care Clinic

Practice address

200 E Military Rd
Marion, AR 72364-1811

Phone

(248) 747-1735

NPI assigned

Aug 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Chukwuemeka Ndubisi Ezeume, M.D

Title

Co-Owner

Phone

(662) 321-7899

Specialties & licenses 1

Addresses

Other names 1

• Marion Primary Care Clinic Doing business as

Practitioners 2

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

• Ilsa Sanchez, M.D

  • General Practice Physician
  • Marion, AR
  • NPI 1821046608
  NPD (past)
• La-Chanda Michelle Brown, FNP-C

  • Family Nurse Practitioner
  • Indianola, MS
  • NPI 1588141725
  NPD (past)

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

{
    "created_epoch": "1471132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471132800000",
    "number": "1194279539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MILITARY RD",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MILITARY RD",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641811",
            "telephone_number": "248-747-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEJO MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-14",
        "last_updated": "2016-08-14",
        "status": "A",
        "authorized_official_last_name": "EZEUME",
        "authorized_official_first_name": "CHUKWUEMEKA",
        "authorized_official_middle_name": "NDUBISI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "662-321-7899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James T Johnston
• Darnell Jones, FNP-BC
• Lakeisha Jones, CASE MANAGER
• Allison Jordan
• Asif Saeed Kazmi, M.D.
• Misty Milam Kennedy, OTR
• Lasonya Key
• Kids for the Future of Marion
• Kidspot Marion, Inc.
• Kidspot Marion, Inc.

• Clinic/Center in Marion, AR
• Providers in Marion, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2016; 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.