DR. NOBLE U. EZUKANMA M.D.
NPI 1295705291
Internal Medicine - Pulmonary Disease in Lakeside, TX

NPI Status: Active since January 24, 2006

Contact Information

8401 JACKSBORO HWY
SUITE 218
LAKESIDE, TX
ZIP 76135
Phone: (817) 338-0400
Fax: (817) 338-0401

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  • Individual
  • Male
  • Internal Medicine
  • Pulmonary Disease

About NOBLE EZUKANMA

This page provides the complete NPI Profile along with additional information for Noble Ezukanma, an internist established in Lakeside, Texas with a medical specialization in Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1295705291 assigned on January 2006. The practitioner's primary taxonomy code is 207RP1001X with license number K8745 (TX). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1295705291
Provider Name
DR. NOBLE U. EZUKANMA M.D.
Gender
Male
Entity Type
Individual
Location Address
8401 JACKSBORO HWY SUITE 218 LAKESIDE, TX 76135
Location Phone
(817) 338-0400
Location Fax
(817) 338-0401
Mailing Address
508 S ADAMS ST SUITE 218 FORT WORTH, TX 76104
Mailing Phone
(817) 338-0400
Mailing Fax
(817) 338-0401
Is Sole Proprietor?
No
Enumeration Date
01-24-2006
Last Update Date
07-23-2012
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An internist like Noble Ezukanma is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
License No.
K8745
License State
TX
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

K8745 (TX)
2207RC0200XAllopathic & Osteopathic Physicians

Internal Medicine
Critical Care Medicine

K8745 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F69659MEDICARE UPIN (02)TX 
8F8412MEDICARE PIN (08)TX 
8L4765MEDICARE PIN (08)TX 
8F24326MEDICARE PIN (08)TX 
044684101MEDICAID (05)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295705291
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2218514010218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 4 + 0 + 1 + 0 + 2 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1295705291 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881982155SAGE SUBSTANCE ABUSE GUIDANCE AND EDUCATION
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))8401 JACKSBORO HWY
LAKESIDE, TX 76135
(817) 238-9911

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295705291, enumerated in the NPI registry as an "individual" on January 24, 2006

The provider is located at 8401 Jacksboro Hwy Suite 218 Lakeside, Tx 76135 and the phone number is (817) 338-0400

The provider's speciality is Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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