Ebenezer Kuma, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

56904 Issued in FL

Practice address

3406 Tamiami TRL Unit 2
Port Charlotte, FL 33952-8152

Phone

(941) 625-4919

Fax

(941) 625-5516

NPI assigned

Jul 22, 2005

Last updated

Oct 16, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dr Ebenezer a Kuma MD PA

  dba Children's-Family Medi-Centre

  • Pediatrics Physician
  • Port Charlotte, FL
  • NPI 1932344041
  NPD (past) Authorized official

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1225038144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 TAMIAMI TRL UNIT 2",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528152",
            "telephone_number": "941-625-4919",
            "fax_number": "941-625-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 TAMIAMI TRL UNIT 2",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528152",
            "telephone_number": "941-625-4919",
            "fax_number": "941-625-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMA",
        "first_name": "EBENEZER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "56904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malathi Krishnaswamy, M.D
• John Joseph Krutsick II, DO
• Donalyn Kuczka, PTA
• John Robert Kuhns, MD
• Alina Kulakevich, APRN
• Sophia Kuma, PHARM.D.
• Julianne Kumar, PTA, MT
• Sanjay Kumar, MD
• Brandi Kunish
• Doni Lee Kuntz, M.A.

• Pediatrics Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.