Frederick Ogwara, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

S7520 Issued in TX

Practice address

3244 Meridiana Pkwy Ste 600
Rosharon, TX 77583-3385

Phone

(979) 353-0006

Fax

(346) 299-9054

NPI assigned

Aug 2, 2011

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fogwara457831@direct.stlukeshealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Springs Pediatrics Associates PLLC

  • Pediatrics Physician
  • Lake Jackson, TX
  • NPI 1114525532

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1023396579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 MERIDIANA PKWY STE 600",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775833385",
            "telephone_number": "979-353-0006",
            "fax_number": "346-299-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 MERIDIANA PKWY STE 600",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775833385",
            "telephone_number": "979-353-0006",
            "fax_number": "346-299-9054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Campus Ridge Dr Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486406125",
            "country_code": "US",
            "telephone_number": "989-837-9250",
            "fax_number": "989-837-9255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Oak Dr S Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lake Jackson",
            "state": "TX",
            "postal_code": "775665627",
            "country_code": "US",
            "telephone_number": "979-353-0006",
            "fax_number": "346-299-9054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGWARA",
        "first_name": "FREDERICK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301104652",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S7520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4178568",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frederick.ogwara@spap.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "3244 Meridiana Pkwy Ste 600",
            "city": "Rosharon",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775833385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nurture Haven Healthcare LLC
• Nutrition Plus More
• Adaobi Chinyelu Nwafor, APRN, FNP-C
• Stephen Ogavu
• Busola Ogungbile
• Nnennaya Ojingwa, PMHNP-BC
• Olaide Ojuri
• Olubunmi Oketunmbi
• Okebukola Adebisi Olayiwola
• Olive Non -Emergency Medical Transportation LLC

• Pediatrics Physician in Rosharon, TX
• Providers in Rosharon, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.