DUPONT PEDIATRICS – NPI #1700587839
Pediatrics

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.

DUPONT PEDIATRICS is a provider located in FORT WAYNE, IN. NPPES has assigned the NPI number 1700587839 to DUPONT PEDIATRICS on March 15, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DUPONT PEDIATRICS” is a dba name, the actual legal business name for this organization is OSITA VICTOR EZEAKUDO MD PC. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 3 years ago on Apr 18, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DUPONT PEDIATRICS below.

NPI Profile for
OSITA VICTOR EZEAKUDO MD PC

NPI Number
1700587839
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OSITA VICTOR EZEAKUDO MD PC
Doing Business As (dba): DUPONT PEDIATRICS
Primary location
2510 E DUPONT RD STE 200
FORT WAYNE, IN 46825-1601
Phone: (260) 432-4913 Fax: (260) 969-6832
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OSITA EZEAKUDO
OWNER
Phone: (260) 432-4913
Updated
Certification Date
Apr 18, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.