Active NPI
Eduzor Anthony Onyechi, M.D.
- Student in an Organized Health Care Education/Training Program
- St. Lous, MO
National Provider Identifier
1447094438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 2024019285
- Practice address
- 6420 Clayton Road
Dept. Internal Medicine 2ND Floor
St. Lous, MO 63117-1811 - Phone
- (314) 768-8778
- Fax
- (314) 768-7101
- NPI assigned
- Jun 24, 2024
- Last updated
- Jan 31, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2024019285 | MO | Primary |
Addresses
Primary practice location
6420 Clayton Road
Dept. Internal Medicine 2ND Floor
St. Lous, MO 63117-1811
Mailing address
6420 Clayton Road
Dept. Internal Medicine 2ND Floor
St. Lous, MO 63117-1811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024019285 | MO | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- eonyechi513273@direct-ehr-ssmhc.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1447094438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 CLAYTON ROAD",
"address_2": "DEPT. INTERNAL MEDICINE 2ND FLOOR",
"city": "ST. LOUS",
"state": "MO",
"postal_code": "631171811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 CLAYTON ROAD",
"address_2": "DEPT. INTERNAL MEDICINE 2ND FLOOR",
"city": "ST. LOUS",
"state": "MO",
"postal_code": "631171811",
"telephone_number": "314-768-8778",
"fax_number": "314-768-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONYECHI",
"first_name": "EDUZOR",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-24",
"last_updated": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2024019285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.