| Dr Innocent Chukwuma Ezenwa, MD | |
|
2115 Green Vista Dr Ste 101, Sparks, NV 89431-8516 | |
| (775) 557-4900 | |
| (775) 557-7240 |
| Full Name | Dr Innocent Chukwuma Ezenwa |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 2115 Green Vista Dr Ste 101, Sparks, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699891192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0012X | Internal Medicine - Sleep Medicine | 042-0012250 (Vermont) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | 16000 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeastern Nevada Regional Hospital | Elko, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meliorem Sleep Services | 0143506576 | 2 |
| Entity Name | William Bee Ririe Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487648804 PECOS PAC ID: 9335051747 Enrollment ID: O20031104000372 |
| Entity Name | Meliorem Sleep Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619417136 PECOS PAC ID: 0143506576 Enrollment ID: O20170419000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Innocent Chukwuma Ezenwa, MD 2115 Green Vista Dr Ste 101, Sparks, NV 89431-8516 Ph: (775) 557-4900 | Dr Innocent Chukwuma Ezenwa, MD 2115 Green Vista Dr Ste 101, Sparks, NV 89431-8516 Ph: (775) 557-4900 |
Joseph Jay Teichgraeber, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5975 S Los Altos Pkwy, Suite 100, Sparks, NV 89436 Phone: 775-352-3080 Fax: 775-327-4121 | |
Thomas Nicholas Truong, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2385 E Prater Way, Suite 302, Sparks, NV 89434 Phone: 775-356-4514 Fax: 775-356-4991 | |
Lynda L Molloy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2375 E. Prater Way, Sparks, NV 89434 Phone: 775-352-5301 Fax: 775-352-5303 | |
Vijaya Veena Bayya, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2345 E Prater Way, Suite 104, Sparks, NV 89434 Phone: 775-352-5300 Fax: 775-356-5590 | |
Dr. Ayodele Okunola, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2375 E Prater Way, Sparks, NV 89434 Phone: 775-352-5301 Fax: 775-352-5303 | |
Dr. Kosta M. Arger, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2385 E Prater Way Ste 302, Sparks, NV 89434 Phone: 775-356-4514 Fax: 775-356-4991 | |
Tim Nguyen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Los Altos Pkwy, Sparks, NV 89436 Phone: 775-982-5000 Fax: 775-982-3900 |