Henry Omoikhudu Dimma Ejere, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N5664 Issued in TX

Practice address

730 Eureka St
C/O Henry Ejere, MD
Weatherford, TX 76086-6546

Phone

(325) 642-8315

Fax

(817) 596-7008

NPI assigned

Jun 14, 2007

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 TX

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 1

Specialty

Internal MedicineAlso: Undersea and Hyperbaric Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Harris Methodist Hospital Azle Hospital, Azle, TX, CCN 450419

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ejerewoundcare.henryejere@127093.advancedmd-direct.com
• Direct secure messaging: hejere@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hode Internal Medicine, PLLC

  • Internal Medicine Physician
  • Weatherford, TX
  • NPI 1417370057
  Medicare reassignment NPD Authorized official
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Texas Health Harris Methodist Hospital Azle

  • General Acute Care Hospital
  • Azle, TX
  • NPI 1508899204
  Care Compare affiliation

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1851595698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 EUREKA ST",
            "address_2": "C/O HENRY EJERE, MD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866546",
            "telephone_number": "682-582-2989",
            "fax_number": "682-268-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 EUREKA ST",
            "address_2": "C/O HENRY EJERE, MD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866546",
            "telephone_number": "325-642-8315",
            "fax_number": "817-596-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJERE",
        "first_name": "HENRY",
        "middle_name": "OMOIKHUDU DIMMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N5664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eating Disorder Solutions of Texas LLC
• Katrina Eder
• Samantha L Edwards, LPC
• Terri Jo Edwards, AU.D.
• Mark Carroll Eidson, MD
• Suzanne Ellett, PA
• Christopher James Elliott, DDS
• Kelly Anne Ellison
• Osama Mohamed Elmhishi, MD
• Emcc Weatherford ER Physicians, PLLC

• Internal Medicine Physician in Weatherford, TX
• Providers in Weatherford, 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 Mar 4, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.