Chinwe Oyeronke Efuribe, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

Q5397 Issued in TX

Practice address

14008 Shadowglen Blvd Ste 201
Manor, TX 78653-3406

Phone

(512) 900-1780

NPI assigned

Nov 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Chinwe Oyeronke Umez Former name

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

Interoperability endpoints

• Direct secure messaging: chinwe.efuribe.1@29842.direct.athenahealth.com
• Direct secure messaging: chinwe.efuribe.p1@direct.lscctx.nextgenshare.com

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

• Centered Youth Clinic and Consulting PLLC

  • Health Service Clinic/Center
  • Manor, TX
  • NPI 1306420013
  NPD Authorized official
• Lone Star Circle of Care

  • Federally Qualified Health Center (FQHC)
  • Georgetown, TX
  • NPI 1639129331
  NPD (past)

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093960718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20617 FAIRLEAF ST",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602664",
            "telephone_number": "860-983-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14008 SHADOWGLEN BLVD STE 201",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786533406",
            "telephone_number": "512-900-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFURIBE",
        "first_name": "CHINWE",
        "middle_name": "OYERONKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "047128",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "54916",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "Q5397",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q5397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHINWE",
            "last_name": "UMEZ",
            "middle_name": "OYERONKE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olivia Rose Dubray
• Andriana Duran, MS, LPC
• Elizabeth Ann Dyson, LCSW
• Eddie Marie Glover
• Kevin Edwards Jr.
• Elgin Family Orthodontics, PLLC
• Elgin Orthodontics, PLLC
• Enamel Dentistry Manor, PLLC
• Eduardo Escobar
• Essential Dental Manor PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.