Josiah Ekunno Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

35803 Issued in MO

Legal business name

JOSIAH EKUNNO MEDICAL CORPORATION

Practice address

11125 Dunn Rd
Suite 202
Saint Louis, MO 63136-6132

Phone

(314) 355-6218

Fax

(314) 355-1092

NPI assigned

May 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Josiah O Ekunno, MD

Title

President

Phone

(314) 355-6218

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1861719601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD",
            "address_2": "SUITE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-355-6218",
            "fax_number": "314-355-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD",
            "address_2": "SUITE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-355-6218",
            "fax_number": "314-355-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSIAH EKUNNO MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "EKUNNO",
        "authorized_official_first_name": "JOSIAH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-355-6218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "35803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200927101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shweta Joshi
• Subash J Joshi, MD
• Surekha Keshav Joshi, MD
• Dan R Joshu, M.S.
• Joshua E Jensen II MD LLC
• Barbara C Jost, MD
• R Gilbert Jost, MD
• Mark J Jostes, MD
• Randall Stephen Jotte, MD
• Gloria Vernita Jourdan, MSW, LCSW

• Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.