Active NPI
Chinenye Sylvester Ekoh, M.D.
- Psychiatry Physician
- Bowie, MD
National Provider Identifier
1194718544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0059208
- Practice address
- 13004 Bald Hornet Trce
Bowie, MD 20720-4681 - Phone
- (202) 320-9963
- Fax
- (301) 352-4334
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0059208 | MD | Primary |
| Psychiatry Physician | 2084P0800X | MD034571 | DC |
Addresses
Primary practice location
13004 Bald Hornet Trce
Bowie, MD 20720-4681
Mailing address
13004 Bald Hornet Trce
Bowie, MD 20720-4681
Phone (202) 320-9963
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64259002 | Other | MD | SECURITY BCBS MEDICAREHMO |
| 7537763 | Other | AETNA | |
| K5360001 | Other | DC | BCBS NATIONAL |
| 1963 | Other | COMPCARE | |
| 64259002 | Other | MD | BLUECROSS BLUESHIELD |
| 4171 | Other | ELDERHEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0059208 | MD | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208649600000",
"number": "1194718544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13004 BALD HORNET TRCE",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204681",
"telephone_number": "202-320-9963",
"fax_number": "301-352-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13004 BALD HORNET TRCE",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204681",
"telephone_number": "202-320-9963",
"fax_number": "301-352-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKOH",
"first_name": "CHINENYE",
"middle_name": "SYLVESTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2008-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0059208",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD034571",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURITY BCBS MEDICAREHMO",
"identifier": "64259002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7537763",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NATIONAL",
"identifier": "K5360001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPCARE",
"identifier": "1963",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "64259002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERHEALTH",
"identifier": "4171",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.