Dr Ebenezer a Kuma MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

56904 Issued in FL

Legal business name

DR EBENEZER A KUMA MD PA

Doing business as

Children's-Family Medi-Centre

Practice address

3406 Tamiami TRL Unit 2
Port Charlotte, FL 33952-8152

Phone

(941) 625-4919

Fax

(941) 625-5516

NPI assigned

Dec 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ebenezer Kuma, MDNPI 1225038144

Title

President

Phone

(941) 625-4919

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Children's-Family Medi-Centre Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ebenezer Kuma, MD

  • Pediatrics Physician
  • Port Charlotte, FL
  • NPI 1225038144
  NPD (past) Authorized official

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1932344041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 TAMIAMI TRL UNIT 2",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528152",
            "telephone_number": "941-625-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 TAMIAMI TRL UNIT 2",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528152",
            "telephone_number": "941-625-4919",
            "fax_number": "941-625-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EBENEZER A KUMA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "KUMA",
        "authorized_official_first_name": "EBENEZER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-625-4919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "56904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1225038144",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062636800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's-Family Medi-Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.