Organization Active NPI

Shioma Wellness Center, PA

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1003205360
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K9375 Issued in TX
Legal business name
SHIOMA WELLNESS CENTER, PA
Practice address
5433 Westheimer Rd
# 420
Houston, TX 77056-5399
Phone
(281) 501-3666
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Phyllis Chizomam Okereke, MDNPI 1598749301
Title
President
Phone
(281) 501-3666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X K9375 TX Primary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X K9375 TX

Addresses

Primary practice location

5433 Westheimer Rd
# 420
Houston, TX 77056-5399

Mailing address

5433 Westheimer Rd
# 420
Houston, TX 77056-5399
Phone (281) 501-3666

National Provider Directory

National Provider Directory

Locations

5433 Westheimer Rd
Ste 420
Houston, TX 77056
Phone (281) 501-3666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1003205360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 WESTHEIMER RD",
            "address_2": "# 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565399",
            "telephone_number": "281-501-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 WESTHEIMER RD",
            "address_2": "# 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565399",
            "telephone_number": "281-501-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIOMA WELLNESS CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "OKEREKE",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "CHIZOMAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-501-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K9375",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "K9375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.