Efem Imoke, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0025902 Issued in MD

Legal business name

EFEM IMOKE, M.D., P.A.

Practice address

4713 Leeds Ave
Baltimore, MD 21227-1402

Phone

(410) 247-4740

Fax

(410) 247-2346

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Lyn Cwik

Title

Director of Administrative Affairs

Phone

(410) 247-4740

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UNIVERSAL SURGICAL ASSOCIATES Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Meibo Hayward, MD

  • Surgery Physician
  • Catonsville, MD
  • NPI 1376601195
  NPD (past)
• Abraham J Smith, PA-C

  • Surgical Physician Assistant
  • Laurel, MD
  • NPI 1043285257
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1700075686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 LEEDS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271402",
            "telephone_number": "410-247-4740",
            "fax_number": "410-247-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 LEEDS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271402",
            "telephone_number": "410-247-4740",
            "fax_number": "410-247-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFEM IMOKE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "CWIK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE AFFAIRS",
        "authorized_official_telephone_number": "410-247-4740",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0025902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "920541100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSAL SURGICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edwin F. Aguilar, M.D., P.C.
• Edwin F. Aguilar, M.D., P.C.
• Edwjor-USA Company Corporation
• Ef Mental Health Services, LLC
• Ebunoluwa Efe
• David Thomas Efron, M.D.
• David B Efros, M.S., CCC-SLP
• Paul L Efros, MA
• Erin Egan, MD
• Josephine M Egan, M.D.

• Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.