Rose Nkeonyere Echeruo

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

204071 Issued in NY

Practice address

1200 E Genesee St
Ste 208
Syracuse, NY 13210-1968

Phone

(315) 425-9113

NPI assigned

Jun 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Rose Nkeonyere Ikwueke Former name

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 and National Provider Directory roles.

• Mohamed Ahmed Physicians PC

  • Primary Care Clinic/Center
  • Fulton, NY
  • NPI 1144425232
  NPD (past)
• Nephrology Hypertension Associates of Cny,P.C.

  • Nephrology Physician
  • North Syracuse, NY
  • NPI 1760402564
  NPD (past)
• Mercy Services Iowa City, Inc.

  • Primary Care Clinic/Center
  • West Liberty, IA
  • NPI 1477065332
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1508804162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E GENESEE ST",
            "address_2": "STE 208",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101968",
            "telephone_number": "315-425-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E GENESEE ST",
            "address_2": "STE 208",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101968",
            "telephone_number": "315-425-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHERUO",
        "first_name": "ROSE",
        "middle_name": "NKEONYERE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02201201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "IKWUEKE",
            "middle_name": "NKEONYERE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathy Eber
• Faith Eberst
• Veronica Jane Ebert, OTR/L
• Carolyn W Ebner
• Catherine Teresa Eccleston, MD
• Jonathan Ecker, M.D.
• Eckerd Corporation
• Eckerd Corporation
• Emet Eckert-Oden
• Jenna Eckert

• Family Medicine Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.