Ibanga Michael Ekanem
MD | Pediatric Adolescent Medicine | Male
Ibanga Michael Ekanem, MD is a New Martinsville, West Virginia based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Ibanga Michael Ekanem is
100 Paducah Dr, New Martinsville, West Virginia - 26155. He can be contacted on phone at
304-455-3611 and fax number 304-455-1778.
Ibanga Michael Ekanem is a sole proprietor of his business.
NPI number (Unique professional ID) for Ibanga Michael Ekanem is
1710085824 which was assigned by NPPES on 20 Sep, 2006 and it was last updated on 18 Apr, 2022.
Ibanga Michael Ekanem license number is
19922 for Pediatrics Adolescent Medicine (2080A0000X) in West Virginia.
Ibanga Michael Ekanem specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Ibanga Michael Ekanem basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Ibanga Michael Ekanem |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Ibanga Michael Ekanem address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 100 Paducah Dr
New Martinsville, WV, 26155
United States |
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| Phone Number : | 304-455-3611 |
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| Fax Number : | 304-455-1778 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1710085824 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Sep, 2006 |
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| Last Updated On : | 18 Apr, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ibanga Michael Ekanem are as mentioned. Primary taxonomy code for Ibanga Michael Ekanem, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 19922 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Ibanga Michael Ekanem such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1801553000 | MEDICAID | WV | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | iekanem5216@direct.wvuhsdirect.com
Direct Address | No affiliation | HIE
Health Information Exchange (HIE)
| CSV
CSV
| 100 PADUCAH DR,
NEW MARTINSVILLE, WV, 26155-2710
United States |
DIRECT
(Direct Messaging Address) | iekanem5216@direct.wvuhsdirect.com
Direct Address | No affiliation | HIE
Health Information Exchange (HIE)
| CSV
CSV
| 100 PADUCAH DR,
NEW MARTINSVILLE, WV, 26155-2710
United States |
DIRECT
(Direct Messaging Address) | iekanem5216@direct.wvuhsdirect.com
Direct Address | No affiliation | HIE
Health Information Exchange (HIE)
| CSV
CSV
| 100 PADUCAH DR,
NEW MARTINSVILLE, WV, 26155-2710
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 Paducah Dr
New Martinsville, WV, 26155
United States |
|---|
| Phone Number : | 304-455-3611 |
|---|
| Fax Number : | 304-455-1778 |
|---|
Business Location:
Patients can refer following map for directions to
Ibanga Michael Ekanem practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.