Eagle Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EAGLE MEDICAL

Doing business as

Eagle Medical,LLC

Practice address

635 Florida Ave NW
Washington, DC 20001-1875

Phone

(202) 639-0250

Fax

(202) 639-0251

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Chima Derek Ekpe

Title

Partner/Director

Phone

(202) 639-0250

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• EAGLE MEDICAL,LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1396834321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 FLORIDA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011875",
            "telephone_number": "202-639-0250",
            "fax_number": "202-639-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 FLORIDA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011875",
            "telephone_number": "202-639-0250",
            "fax_number": "202-639-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "EKPE",
        "authorized_official_first_name": "CHIMA",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "PARTNER/DIRECTOR",
        "authorized_official_telephone_number": "202-639-0250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038503600",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014868700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396834321",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAGLE MEDICAL,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• E&T Home Care Services LLC
• Marcel Francois Eadie, MD
• Sally Ruth Eady III
• India Eaford, MD
• Lauren E Eagan, CPNP
• Eagle Public Charter School
• Jasmin Eales
• Ear,Nose & Throat Medical Group of Washington P.C.
• Assefa Earcato
• Keyonna A Earle

• Durable Medical Equipment & Medical Supplies in Washington, DC
• Providers in Washington, DC by specialty
• Durable Medical Equipment & Medical Supplies in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.