Organization Active NPI

O. E. Ezekoye, MD, PA

  • Primary Care Clinic/Center
  • Round Rock, TX
National Provider Identifier
1205016672
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
O. E. EZEKOYE, MD, PA
Practice address
1 Chisholm TRL
Suite 4100
Round Rock, TX 78681-5008
Phone
(512) 388-9711
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Olufunke Ezekoye
Title
President
Phone
(512) 388-9711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1 Chisholm TRL
Suite 4100
Round Rock, TX 78681-5008

Mailing address

1 Chisholm TRL
Suite 4100
Round Rock, TX 78681-5008
Phone (512) 388-9711

National Provider Directory

National Provider Directory

Locations

1 Chisholm Trail Rd
Ste 4100
Round Rock, TX 78681
Phone (512) 298-3901

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1205016672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRL",
            "address_2": "SUITE 4100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815008",
            "telephone_number": "512-388-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHISHOLM TRL",
            "address_2": "SUITE 4100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815008",
            "telephone_number": "512-388-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O. E. EZEKOYE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "EZEKOYE",
        "authorized_official_first_name": "OLUFUNKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-388-9711",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.