EMMANUEL EDMUND SACKEY MD
NPI 1417060724
Pediatrics in Ennis, TX

Active since August 17, 2006CLIA 45D0945655 · Waiver
601 S CLAY ST STE 101, ENNIS, TX 75119(972) 875-5220(972) 875-5606 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Emmanuel Edmund Sackey Md NPPES

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

EMMANUEL EDMUND SACKEY MD (NPI 1417060724) is an individual pediatrics provider in Ennis, Texas, licensed in Texas (K4222) and active in the NPI registry since August 2006. He holds a CLIA Waiver certificate valid through May 5, 2028.

NPPES Registry Identity

NPI1417060724
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameEMMANUEL EDMUND SACKEYCredential: MD
Location Address601 S CLAY ST STE 101Ennis, TX 75119-5771
Mailing AddressPo Box 723Ennis, TX 75120-0723 · (972) 875-5220 · Fax (972) 875-5606
Fax(972) 875-5606
Sole ProprietorYes
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417060724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TX · K4222
Definition

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.

601 S CLAY ST STE 101, Ennis, TX 75119

Other Identifiers 1

Medicare UPINF95631TX

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0945655

Emmanuel E Sackey, MD PA D/B/A Ennis Childrens Clinic · Ennis, TX
Active · expires May 5, 2028
CLIA Number45D0945655
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorEmmanuel E. Sackey
Laboratory Phone(972) 875-5220
Laboratory LocationEmmanuel E Sackey, MD PA D/B/A Ennis Childrens Clinic601 South Clay Suite 101, Ennis, TX 75119
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Pediatrics
601 S CLAY ST STE 101
ENNIS, TX 75119
Physician Assistant (Medical)
601 S CLAY ST STE 101
ENNIS, TX 75119
Physician Assistant
601 S CLAY ST STE 101
ENNIS, TX 75119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417060724, enumerated as an "individual" on August 17, 2006.

The provider is located at 601 S CLAY ST STE 101 ENNIS, TX 75119 and the phone number is (972) 875-5220.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to verify.