Ezea D. Ede MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EZEA D. EDE MD

Practice address

740 Hospital Dr
Suite 230
Beaumont, TX 77701-4664

Phone

(409) 832-6129

Fax

(409) 832-6240

NPI assigned

Oct 5, 2007

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 identifiers 1

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.

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128213903",
            "state": "TX"
        }
    ],
    "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.
• 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.