Active NPI
Elias Ezike, MD, P.a
- Pediatric Infectious Diseases Physician
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- M4774
- Legal business name
- ELIAS EZIKE, MD, P.A
- Practice address
- 87 Interstate 10 N. Suite 221
Beaumont, TX 77707-2562 - Phone
- (409) 838-9944
- Fax
- (409) 838-9086
- NPI assigned
- Oct 22, 2009
- Last updated
- Nov 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elias Nnamdi Ezike, M.D
- Title
- President
- Phone
- (409) 838-9944
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | M4774 | TX | Primary |
Addresses
Primary practice location
87 Interstate 10 N. Suite 221
Beaumont, TX 77707-2562
Mailing address
87 Interstate 10 N. Suite 221
Beaumont, TX 77707-2562
Phone (409) 838-9944
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2114527 | Elias Ezike, MD, PA | Certificate of waiver | Jun 15, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1912233115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 INTERSTATE 10 N. SUITE 221",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777072562",
"telephone_number": "409-838-9944",
"fax_number": "409-838-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 INTERSTATE 10 N. SUITE 221",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777072562",
"telephone_number": "409-838-9944",
"fax_number": "409-838-9086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIAS EZIKE, MD, P.A",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-22",
"last_updated": "2024-11-04",
"status": "A",
"authorized_official_last_name": "EZIKE",
"authorized_official_first_name": "ELIAS",
"authorized_official_middle_name": "NNAMDI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "409-838-9944",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "TX",
"license": "M4774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.