Individual ProviderIsaiah John EbertStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1110 N Lee Ave, Oklahoma City, OK 73103-2612(614) 285-8072PECOS EnrollmentBased on the most recent information from CMS, provider Isaiah John Ebert does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1104582030Provider TypeIndividualFull NameEbert, Isaiah JohnGenderMaleSole ProprietorNoEnumeration Date11/15/2021Last Updated5/14/2025Contact InformationPractice LocationPractice Address1110 N Lee Ave, Oklahoma City, OK 73103-2612Phone(614) 285-8072FaxUnlisted FaxMailing LocationMailing Address1110 N Lee Ave, Oklahoma City, OK 73103-2612Phone(614) 285-8072FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer