Active NPI
Uko Ekaiko
- Durable Medical Equipment & Medical Supplies
- Southfield, MI
National Provider Identifier
1629162516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 4458038
- Legal business name
- UKO EKAIKO
- Practice address
- 19111 West Ten Mile Road
Suite A8
Southfield, MI 48075 - Phone
- (248) 356-7884
- Fax
- (248) 356-1067
- NPI assigned
- Oct 3, 2006
- Last updated
- Jun 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Uko T Ekaiko, PH.D.
- Title
- Consultant
- Phone
- (248) 356-7884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4458038 | MI | Primary |
Addresses
Primary practice location
19111 West Ten Mile Road
Suite A8
Southfield, MI 48075
Mailing address
19111 West Ten Mile Road
Suite A8
Southfield, MI 48075
Phone (248) 356-7884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540F300740 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4458038 | Medicaid | MI |
Other names 1
- FREEDOM MEDICAL EQUIPMENT &SUPPLY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1629162516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19111 WEST TEN MILE ROAD",
"address_2": "SUITE A8",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48075",
"telephone_number": "248-356-7884",
"fax_number": "248-356-1067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19111 WEST TEN MILE ROAD",
"address_2": "SUITE A8",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48075",
"telephone_number": "248-356-7884",
"fax_number": "248-356-1067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UKO EKAIKO",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "EKAIKO",
"authorized_official_first_name": "UKO",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "248-356-7884",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "4458038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "540F300740",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4458038",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FREEDOM MEDICAL EQUIPMENT &SUPPLY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.