Active NPI
Ifeanyi Ejiego
- Contractor
- Orlando, FL
National Provider Identifier
1588051189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 9712 S Orange Ave
Orlando, FL 32824-7211 - Phone
- (844) 395-4100
- NPI assigned
- Apr 21, 2015
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
9712 S Orange Ave
Orlando, FL 32824-7211
Mailing address
9712 S Orange Ave
Orlando, FL 32824-7211
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429574400000",
"number": "1588051189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9712 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328247211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9712 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328247211",
"telephone_number": "844-395-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EJIEGO",
"first_name": "IFEANYI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-21",
"last_updated": "2015-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.