Active NPI
Stanislaus Nwafor Uzoigwe MD PA
Doing business as Pediatric Practice Association
- Rural Health Clinic/Center
- Rio Grande City, TX
National Provider Identifier
1265518914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- L4155
- Legal business name
- STANISLAUS NWAFOR UZOIGWE MD PA
- Doing business as
- Pediatric Practice Association
- Practice address
- 201 E 2ND St
Rio Grande City, TX 78582-3803 - Phone
- (956) 488-1200
- Fax
- (956) 488-9500
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ana Falcon
- Title
- Credentialing Clerk
- Phone
- (956) 488-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | L4155 | TX | Primary |
Addresses
Primary practice location
201 E 2ND St
Rio Grande City, TX 78582-3803
Mailing address
201 E 2ND St
Rio Grande City, TX 78582-3803
Phone (956) 488-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163872801 | Medicaid | TX |
Other names 1
- Pediatric Practice Association
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EMDSOFTWARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1265518914. Details of each certification follow.
Rural health clinic certification: CCN 673891
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PEDIATRIC PRACTICE ASSOCIATION - RIO GRANDE CITY
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jul 7, 2006
- Last certification
- Oct 20, 2015
- Ownership / control type
- 1A
- Facility address
- 201 East 2ND St
Rio Grande City, TX 78582
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599696000000",
"number": "1265518914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E 2ND ST",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785823803",
"telephone_number": "956-488-1200",
"fax_number": "956-488-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E 2ND ST",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785823803",
"telephone_number": "956-488-1200",
"fax_number": "956-488-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANISLAUS NWAFOR UZOIGWE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2020-09-10",
"certification_date": "2020-08-14",
"status": "A",
"authorized_official_last_name": "FALCON",
"authorized_official_first_name": "ANA",
"authorized_official_title_or_position": "CREDENTIALING CLERK",
"authorized_official_telephone_number": "956-488-1200",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "TX",
"license": "L4155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163872801",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EMDSOFTWARE",
"affiliation": "N",
"address_1": "201 E 2nd St",
"city": "Rio Grande City",
"state": "TX",
"country_code": "US",
"postal_code": "785823803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Pediatric Practice Association",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rio Grande City, TX
- South Texas Sleep Disordr Clinic
- Sparrow PHC, LLC (Sparrow Primary Home Care)
- Special Care Services Inc
- Speech for Kids Therapy
- SSC Rio Grande City Operating Company LLC (Retama Manor Health and Rehabilitation Center/Rio Grande City)
- Stanislaus Nwafor Uzoigwe MD PA
- Starr County Hospital District (Rio Grande City Nursing and Rehabilitation Center)
- Starr County Hospital District
- Starr County Hospital District (Rural Health Clinic)
- Starr County Hospital District (Starr County Memorial Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.