Theodore O Ekong

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00651 Issued in NC

Practice address

3127 Eastway Dr
Ste. 109
Charlotte, NC 28205-5643

Phone

(704) 536-5911

Fax

(704) 536-9770

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962629253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 EASTWAY DR",
            "address_2": "STE. 109",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055643",
            "telephone_number": "704-536-5911",
            "fax_number": "704-536-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 EASTWAY DR",
            "address_2": "STE. 109",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055643",
            "telephone_number": "704-536-5911",
            "fax_number": "704-536-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKONG",
        "first_name": "THEODORE",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703516",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benson Ikenna Ejindu
• Princess Ejindu
• Uwadiogbu Odinaka Ejindu, MD
• Theresa Nkechi Ekenedo, NP
• Tiffany Ekker
• Ekr, LLC
• Tagbo John Ekwonu, M.D.
• Nnemka Ijeoma Ekwueme-Sturdivant, MD
• Nicole El Helou, MD
• Nadine Ahmed El Komy, DO

• Durable Medical Equipment & Medical Supplies in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.