Udeme Ekpenyong, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P2982 Issued in TX

Practice address

818 N. 4TH St.
Longview, TX 75601

Phone

(903) 236-8600

Fax

(903) 236-8605

NPI assigned

Jul 27, 2009

Last updated

Jul 1, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Ancor Health Center, PA

  • Specialist
  • Longview, TX
  • NPI 1992887384
  NPD (past)
• Christus Good Shepherd Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1124092036
  NPD (past)
• Longview Medical Center LP

  dba Longview Regional Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1528026267
  NPD (past)
• Longview Wellness Center Inc

  dba Wellness Pointe

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1578369922

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1407086333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N. 4TH ST.",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75601",
            "telephone_number": "903-236-8600",
            "fax_number": "903-236-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N. 4TH ST.",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75601",
            "telephone_number": "903-236-8600",
            "fax_number": "903-236-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKPENYONG",
        "first_name": "UDEME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P2982",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "P2982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Neal Edwards, O.D.
• Gregory Ashton Edwards, M.D.
• Jessica Edwards
• Bradley Efune, M.D.
• Eh Home Health of East Texas, LLC (Enhabit Home Health)
• Chigbo Nnanna Ekwueme, PHARM.D
• Sherif Elbarnashawy, BDS, MSD
• Ahmed A Elbira, DDS
• Elder Chiropractic Clinic
• Jack D Elder, MD

• Pediatrics Physician in Longview, TX
• Providers in Longview, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.