UGOCHUKWU STANLEY EZIDIEGWU M.D.
NPI 1689415838
Student in an Organized Health Care Education/Training Program in Aiken, SC

Q: What is Ugochukwu Ezidiegwu's NPI number?

The NPI number for Ugochukwu Ezidiegwu is 1689415838. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Q: What is Ugochukwu Ezidiegwu's specialty?

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

Active since June 03, 2024PECOS Enrolled

302 UNIVERSITY PARKWAY, AIKEN, SC 29801(803) 641-5275 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2024, Jun 3, 2024 (2 updates tracked since 2024).

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About Ugochukwu Stanley Ezidiegwu M.d. NPPES

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

UGOCHUKWU STANLEY EZIDIEGWU M.D. (NPI 1689415838) is an individual student in an organized health care education/training program in Aiken, South Carolina and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689415838

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameUGOCHUKWU STANLEY EZIDIEGWUCredential: M.D.

Location Address302 UNIVERSITY PARKWAYAiken, SC 29801

Mailing Address302 University ParkwayAiken, SC 29801 · (803) 641-5275

Phone(803) 641-5275

Sole ProprietorNo

Enumeration DateJune 3, 2024

Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration

✔ NPI 1689415838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

302 UNIVERSITY PARKWAY, Aiken, SC 29801

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ugochukwu Stanley Ezidiegwu M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 11

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

AIKEN REGIONAL MEDICAL CENTERS LLC

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