Provider Demographics
NPI:1952307480
Name:EKE, JOSEPH WAYNE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:WAYNE
Last Name:EKE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 KEYSTONE XING STE 400
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-2159
Mailing Address - Country:US
Mailing Address - Phone:317-800-2369
Mailing Address - Fax:
Practice Address - Street 1:711 S EAST ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46225-1317
Practice Address - Country:US
Practice Address - Phone:317-800-2369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01047083A208D00000X, 2085R0204X, 2085R0204X
OH35.079654208D00000X
KY48179208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4180621Medicare PIN