NPIMap

Organization Active NPI

Macaulay E Nwojo MD PLLC

Doing business as Midessa Neurosurgery and Complex Spine

  • Neurological Surgery Physician
  • Odessa, TX
National Provider Identifier
1114565025
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
MACAULAY E NWOJO MD PLLC
Doing business as
Midessa Neurosurgery and Complex Spine
Practice address
8050 E Highway 191 Ste 250
Odessa, TX 79765-8613
Phone
(432) 558-7000
Fax
(432) 214-2400
NPI assigned
Dec 11, 2019
Last updated
Sep 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Macaulay E Nwojo, MDNPI 1639433915
Title
Ceo
Phone
(832) 434-4963

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

8050 E Highway 191 Ste 250
Odessa, TX 79765-8613

Mailing address

PO Box 15007
Odessa, TX 79768-5007
Phone (432) 558-7000

Other names 1

  • MIDESSA NEUROSURGERY AND COMPLEX SPINE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200330000309 TX Part B Supplier - Clinic/Group Practice 7416386370 Receives reassigned benefits from 5 practitioners
Practice locations: Odessa, TX
O20201103002869 TX DME Supplier - Physician - Neurosurgery 7416386370 Practice locations: Odessa, TX

National Provider Directory

National Provider Directory

Locations

8050 E Highway 191
Ste 250
Odessa, TX 79765
Phone (432) 558-7000

Practitioners & affiliated clinicians

Practitioners 5

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": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1114565025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15007",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797685007",
            "telephone_number": "432-558-7000",
            "fax_number": "432-214-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E HIGHWAY 191 STE 250",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658613",
            "telephone_number": "432-558-7000",
            "fax_number": "432-214-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACAULAY E NWOJO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "NWOJO",
        "authorized_official_first_name": "MACAULAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-434-4963",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDESSA NEUROSURGERY AND COMPLEX SPINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIDESSA NEUROSURGERY AND COMPLEX SPINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.