ISAIAH JOHN EBERT
NPI 1104582030
Student in an Organized Health Care Education/Training Program in Oklahoma City, OK

Active since November 15, 2021
1110 N LEE AVE, OKLAHOMA CITY, OK 73103(614) 285-8072 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Nov 15, 2021 (2 updates tracked since 2021).

About Isaiah John Ebert NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISAIAH JOHN EBERT (NPI 1104582030) is an individual student in an organized health care education/training program in Oklahoma City, Oklahoma and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1104582030
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameISAIAH JOHN EBERT
Location Address1110 N LEE AVEOklahoma City, OK 73103-2612
Mailing Address1110 N Lee AveOklahoma City, OK 73103-2612 · (614) 285-8072
Sole ProprietorNo
Enumeration DateNovember 15, 2021
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
NPI 1104582030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1110 N LEE AVE, Oklahoma City, OK 73103

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1110 N LEE AVE
OKLAHOMA CITY, OK 73103
Orthopaedic Surgery
1110 N LEE AVE
OKLAHOMA CITY, OK 73103
Student in an Organized Health Care Education/Training Program
1110 N LEE AVE
OKLAHOMA CITY, OK 73103
Student in an Organized Health Care Education/Training Program
1110 N LEE AVE
OKLAHOMA CITY, OK 73103
Family Medicine
1110 N LEE AVE
OKLAHOMA CITY, OK 73103
Student in an Organized Health Care Education/Training Program
1110 N LEE AVE
OKLAHOMA CITY, OK 73103
Student in an Organized Health Care Education/Training Program
1110 N LEE AVE, 300
OKLAHOMA CITY, OK 73103
Physician Assistant
1110 N LEE AVE
OKLAHOMA CITY, OK 73103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Isaiah Ebert's NPI number?

The NPI number for Isaiah Ebert is 1104582030. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Where is Isaiah Ebert located?

Isaiah Ebert practices at 1110 N Lee Ave, Oklahoma City, OK 73103. The listed phone number is (614) 285-8072.

What is Isaiah Ebert's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Isaiah Ebert was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.