Healthcare Provider Details

I. General information

NPI: 1285423996
Provider Name (Legal Business Name): CHIMDALU OKEZIE EMEKEKWUE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MERCY HOSPITAL 7301 ROGERS AVENUE ATTN GME DEPARTMENT
FORT SMITH AR
72903
US

IV. Provider business mailing address

MERCY HOSPITAL 7301 ROGERS AVENUE ATTN GME DEPARTMENT
FORT SMITH AR
72903
US

V. Phone/Fax

Practice location:
  • Phone: 479-314-6000
  • Fax: 479-314-4705
Mailing address:
  • Phone: 479-314-6000
  • Fax: 479-314-4705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: