Individual provider Active NPI

Justina Egbichi Eke, M.D.

  • Pediatrics Physician
  • Martinsburg, WV
National Provider Identifier
1497904973
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23370 Issued in WV
Practice address
1804 W King Street
200
Martinsburg, WV 25401-2004
Phone
(304) 262-4525
Fax
(304) 262-4205
NPI assigned
Sep 9, 2008
Last updated
Jan 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 23370 WV Primary

Addresses

Primary practice location

1804 W King Street
200
Martinsburg, WV 25401-2004

Mailing address

1804 W King St
200
Martinsburg, WV 25401-2004
Phone (304) 262-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230306000739 WV Practitioner - Pediatric Medicine 9739552175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
City Pediatrics CurrentSince Jan 16, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1804 W King St
Ste 200
Martinsburg, WV 25401
Phone (304) 262-4525

1804 W King St
Ste 300
Martinsburg, WV 25401

1804 W King St
Ste 300400
Martinsburg, WV 25401
Phone (304) 262-4525

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1497904973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 W KING ST",
            "address_2": "200",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012004",
            "telephone_number": "304-262-4525",
            "fax_number": "304-262-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 W KING STREET",
            "address_2": "200",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012004",
            "telephone_number": "304-262-4525",
            "fax_number": "304-262-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKE",
        "first_name": "JUSTINA",
        "middle_name": "EGBICHI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "23370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.