Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669901450 Individual Practitioner Male Practitioner

Dr. Stanley Eziukwu , MD

Pediatrics • Lima, OH

Professional Overview & Biography Verified Profile Summary

Dr. Stanley Eziukwu, MD is a registered healthcare professional specializing in Pediatrics in Lima, OH. Practice services are available at 1001 BELLEFONTAINE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1001 Bellefontaine Ave

Lima, OH 458042800

Telephone 4192283335
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lima, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Lima, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35.141450

A pediatrician 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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License OH 35.141450

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0444619 (OH)

Secondary Practice Locations

75 Hospital Dr Ste 350

Athens, OH 457012867

Phone: 7405927040

401 N Ewing St

Lancaster, OH 431303372

Phone: 7406876907

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Alicia Thornton , PA-C

Physician Assistant

NPI 1013453190

Physician Assistant (Certified)

NPI 1013644673

Doctor of Pharmacy (Pharm.D.)

Dr. Susan Payson , DO

Family Medicine

NPI 1073530838

Doctor of Osteopathic Medicine (D.O.)

Thomas Severs , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093085961

Certified Registered Nurse Anesthetist

Joshua Frueauf , CRNA

Nurse Anesthetist, Certified Registered

NPI 1144686825

Certified Registered Nurse Anesthetist

Cody Jones , PA-C

Physician Assistant - Medical

NPI 1144768383

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

22 Historical Events
📍
Updated Practice Location August 09, 2023

Registered at 1001 BELLEFONTAINE AVE, LIMA, OH 458042800 (Tel: 4192283335)

📍
Updated Business Mailing Address August 09, 2023

Registered at 1001 BELLEFONTAINE AVE, LIMA, OH 458042800 (Tel: 4192283335)

📍
Updated Practice Location March 09, 2022

Registered at 75 HOSPITAL DR STE 350, ATHENS, OH 457012867 (Tel: 7405927040)

📍
Updated Practice Location July 07, 2021

Registered at 24 W GREEN DR STE 329, ATHENS, OH 457012974 (Tel: 7405927040)

📍
Updated Business Mailing Address July 07, 2021

Registered at PO BOX 7527, DUBLIN, OH 430170727

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2021

Pediatrics (License #35.141450 in OH)

📍
Updated Practice Location June 28, 2018

Registered at 3535 S JEFFERSON AVE STE 104, SAINT LOUIS, MO 63118 (Tel: 3144491143)

📍
Updated Business Mailing Address June 28, 2018

Registered at 4802 10TH AVE, BROOKLYN, NY 112192916

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active December 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 29, 2017

Registered at 3535 S JEFFERSON AVE STE 104, SAINT LOUIS, MO 631183907 (Tel: 3144491143)

📍
Updated Business Mailing Address December 29, 2017

Registered at 3535 S JEFFERSON, SAINT LOUIS, MO 63118

👤
Provider Name / Credentials Updated December 29, 2017

Recorded as STANLEY EZIUKWU, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2017

General Practice (License #2017011416 in MO)

📍
Updated Business Mailing Address November 30, 2017

Registered at 3535 S JEFFERSON, SAINT LOUIS, MO 63118

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2017

Physician Assistant

NPI Profile Active June 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2017

Registered at 3535 S JEFFERSON AVE STE 104, SAINT LOUIS, MO 631183907 (Tel: 3144491143)

📍
Updated Business Mailing Address June 06, 2017

Registered at 4527 WASHINGTON BLVD, SAINT LOUIS, MO 631081822 (Tel: 4699528163)

👤
Provider Name / Credentials Updated June 06, 2017

Recorded as STANLEY EZIUKWU, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2017

Physician Assistant (License #2017011416 in MO)

🟢
Initial NPI Registration & Enumeration June 06, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669901450
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2017
Last Update: October 23, 2023
Sole Proprietor: No

Mailing Address

1001 Bellefontaine Ave

Lima, OH 458042800

Phone: 4192283335

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.