Ezea D. Ede MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EZEA D. EDE MD

Doing business as

Ochendu Medical Clinic PA

Practice address

740 Hospital Dr
Suite 230
Beaumont, TX 77701-4664

Phone

(409) 832-6129

Fax

(409) 832-6240

NPI assigned

Oct 5, 2007

Last updated

Jun 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ezea D Ede, MDNPI 1861422412

Title

Owner

Phone

(409) 832-6129

Specialties & licenses 1

Addresses

Other names 1

• Ochendu Medical Clinic PA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ezea Daniel Ede, MD

  • Internal Medicine Physician
  • Beaumont, TX
  • NPI 1861422412
  NPD (past) Authorized official

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1760670517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR",
            "address_2": "SUITE 230",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014664",
            "telephone_number": "409-832-6129",
            "fax_number": "409-832-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR",
            "address_2": "SUITE 230",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014664",
            "telephone_number": "409-832-6129",
            "fax_number": "409-832-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZEA D. EDE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "EDE",
        "authorized_official_first_name": "EZEA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-832-6129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochendu Medical Clinic PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eyeglass World
• Eyemart Express LLC
• Eyemart Express, LTD.
• Eyemasters of Texas, LTD. (EyeMasters)
• Desire Ebot Eyong, PHARM.D
• Elias N Ezike, MD
• Mobolanle A. Fagbemi, APRN. FNP-C, CPNP-PC
• Elizabeth Fair
• Fallon T Gordon MD PA
• Dean Fam, M.D.

• Internal Medicine Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.