Mary Ebueku-smith
MD | Pediatrics | Female
Mary Ebueku-smith, MD is a Indianapolis, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mary Ebueku-smith is
Community Physicians Of Indiana, Inc, 7150 Clearvista Drive, Indianapolis, Indiana - 46256-1695. She can be contacted on phone at
317-621-9650 and fax number 317-621-7877.
Mary Ebueku-smith is a sole proprietor of her business.
NPI number (Unique professional ID) for Mary Ebueku-smith is
1639514805 which was assigned by NPPES on 01 May, 2013 and it was last updated on 08 Dec, 2022.
Mary Ebueku-smith license number is
01080536A for Pediatrics (208000000X) in Indiana.
Mary Ebueku-smith is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mary Ebueku-smith basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mary Ebueku-smith |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mary Ebueku-smith 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 : | Community Physicians Of Indiana, Inc, 7150 Clearvista Drive
Indianapolis, IN, 46256-1695
United States |
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| Phone Number : | 317-621-9650 |
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| Fax Number : | 317-621-7877 |
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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 : | 1639514805 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 May, 2013 |
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| Last Updated On : | 08 Dec, 2022 |
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Medicare Participation:
Mary Ebueku-smith participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8426329897 |
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| Medicare Enrollment ID : | I20210303003100 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | Drexel University College Of Medicine |
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| Graduation Year : | 2013 |
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| Accepts Medicare? | Yes. Mary Ebueku-smith accepts medicare insurance. |
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Group Practice Association:
Mary Ebueku-smith is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mary Ebueku-smith is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Maury Regional Medical Group, Inc | 7911810742 | 99 | 854 W James Campbell Blvd
Columbia, TN - 384014672 | Yes |
| Maury Regional Medical Group, Inc | 7911810742 | 99 | 1224 Trotwood Ave
Columbia, TN - 384014802
Ph: 9313811111 | Yes |
| Providence Health And Services Oregon | 5294623245 | 188 | 1111 Crater Lake Ave
Medford, OR - 975046241
Ph: 5417325545 | Yes |
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 Mary Ebueku-smith are as mentioned. Primary taxonomy code for Mary Ebueku-smith, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 11591A | WY |
| 208000000X | Pediatrics | No | TL4365 | WY |
| 208M00000X | Hospitalist | No | MD213533 | OR |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 208000000X | Pediatrics | Yes | 01080536A | IN |
| 207R00000X | Internal Medicine | No | 60750536 | WA |
| 207R00000X | Internal Medicine | No | 121121 | AK |
| 207R00000X | Internal Medicine | No | 11591A | WY |
| 207R00000X | Internal Medicine | No | S4942 | TX |
| 207Q00000X | Family Medicine | No | 121121 | AK |
| 207R00000X | Internal Medicine | No | TL4365 | WY |
Legacy Identifiers:
Other legacy medical identifiers of Mary Ebueku-smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 300025385 | MEDICAID | IN | |
| P02259015 | Other (non-Medicare) | IN | RR Medicare |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
230 E MARYDALE AVE,
SOLDOTNA, AK, 99669
United States | SOLDOTNA, AK | 907-262-3119 |
6431 FANNIN ST, SUITE JJL 310
HOUSTON, TX, 77030-1501
United States | HOUSTON, TX | 713-500-5154 |
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 : | 9955 Buffalo Speedway
Houston, TX, 77054-0000
United States |
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| Phone Number : | 404-791-9431 |
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Business Location:
Patients can refer following map for directions to
Mary Ebueku-smith practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.