Bella Caimol Ejercito, ME 22078

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME22078 Issued in FL

Practice address

4608 Norwood Ave
Jacksonville, FL 32206

Phone

(904) 764-6161

Fax

(904) 764-2227

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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, Master of Engineering

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396817557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 NORWOOD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32206",
            "telephone_number": "904-764-6161",
            "fax_number": "904-764-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 NORWOOD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32206",
            "telephone_number": "904-764-6161",
            "fax_number": "904-764-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJERCITO",
        "first_name": "BELLA",
        "middle_name": "CAIMOL",
        "name_prefix": "Dr.",
        "credential": "ME 22078",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME22078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eisenhower Jacksonville Group LLC
• Cynthia Eisman, PTA
• Tracey J Eismont, PA
• Ej's Place Inc.
• Ej's Place, Inc.
• Ejere Group Inc (Ejere Group)
• Alan Ekanem, MD
• Kenneth Ekman, RBT
• Chima Ekwueme, APRN
• Marylynda Ekwueme, PHARM. D

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.