Organization Active NPI

Nidus Heathcare Consulting PA

Doing business as Perinatal associate and testing center

  • Maternal & Fetal Medicine Physician
  • Midland, TX
National Provider Identifier
1023824083
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
NIDUS HEATHCARE CONSULTING PA
Doing business as
Perinatal associate and testing center
Practice address
1003 Harrier Dr
Midland, TX 79706-2426
Phone
(773) 349-6855
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Dr. Nkechi Ezirim, MDNPI 1396009668
Title
Medical Director
Phone
(518) 618-8405

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
Maternal & Fetal Medicine Physician 207VM0101X Primary
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083B0002X

Addresses

Primary practice location

1003 Harrier Dr
Midland, TX 79706-2426

Mailing address

1003 Harrier Dr
Midland, TX 79706-2426

Other names 1

  • Perinatal associate and testing center Doing business as

National Provider Directory

National Provider Directory

Locations

318 N Alleghaney Ave
Ste 303
Odessa, TX 79761
Phone (432) 334-8088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1023824083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 HARRIER DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 HARRIER DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062426",
            "telephone_number": "773-349-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIDUS HEATHCARE CONSULTING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "EZIRIM",
        "authorized_official_first_name": "NKECHI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "518-618-8405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perinatal associate and testing center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.