Collins Ezeuka, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME143828 Issued in FL

Practice address

1949 Northgate Blvd
Sarasota, FL 34234-2143

Phone

(941) 208-3070

Fax

(941) 208-3067

NPI assigned

Apr 11, 2013

Last updated

Nov 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Atlantic Cove Medical Group, LLC

  • Clinic/Center
  • Sarasota, FL
  • NPI 1851172019
  Medicare reassignment NPD Authorized official
• Coverx, LLC

  • Pharmacy
  • Port Charlotte, FL
  • NPI 1104632678
  NPD (past) Authorized official
• Atlantic Cove Medical Group

  • Family Medicine Physician
  • Woodland Hills, CA
  • NPI 1649093097
  Authorized official Same address or phone
• Deborah Goldsmith DC PA

  dba Goldsmith Chiropractic and Acupunture Center

  • Chiropractor
  • Sarasota, FL
  • NPI 1942370697
  NPD (past)

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1730522590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 CLARK RD # 3072",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333227",
            "telephone_number": "818-554-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 NORTHGATE BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342342143",
            "telephone_number": "941-208-3070",
            "fax_number": "941-208-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEUKA",
        "first_name": "COLLINS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME143828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyeglass World
• Rachel Lynn Eyer
• Eyerad, PLLC
• Eyerad, PLLC
• Eyes of Florida SK Retina
• F.a.Skordas DDS Ms PL
• Dana Suzanne Fabiani, M.D.
• Douglas Fabiani, D.M.D.
• Macy F Faccioli
• Patricia A Facey Thorpe, OTRL

• General Practice Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.