Ebima C Okundaye
Medical Specialty
Professional ID
- NPI: 1063546406
- PECOS ID: 9436221074
- Enrollment ID: I20141016002094
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2002
Hospital Service
- Hospital CCN1: 430077
- Business Name (LBN)1: Rapid City Regional Hospital
- Hospital CCN2: 010131
- Business Name (LBN)2: Crestwood Medical Center
- Hospital CCN3: 281341
- Business Name (LBN)3: Chadron Community Hospital And Health Services
- Hospital CCN4: 430005
- Business Name (LBN)4: Prairie Lakes Hospital
- Hospital CCN5: 531303
- Business Name (LBN)5: Weston County Health Services
Medical Practices
- Organization Name: Cantrell Lake Inpatient Services Llc
- Group Practice ID assigned by PECOS: 1254604101
- Number of Group Practice member: 6
Location
- Address1: 200 Allen Memorial Dr
- Address2:
- City: Bremen
- State: Georgia
- Zip Code: 30110
- Phone Number: (770)812-2000
Medical Practices
- Organization Name: Rapid City Regional Hospital Inc
- Group Practice ID assigned by PECOS: 6002729506
- Number of Group Practice member: 324
Location
- Address1: 640 Flormann St
- Address2:
- City: Rapid City
- State: South Dakota
- Zip Code: 57701
- Phone Number: (605)719-6980
Medical Practices
- Organization Name: Physynergy Medical Services Llc
- Group Practice ID assigned by PECOS: 7810118437
- Number of Group Practice member: 17
Location
- Address1: 20 Hughes Rd
- Address2: Suite 101
- City: Madison
- State: Alabama
- Zip Code: 35758
- Phone Number: (256)469-7895
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):