Ikenna Samuel Uzochukwu, NP

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

K6377 Issued in TX

Practice address

3604 Buddy Owens Ave
McAllen, TX 78504-5201

Phone

(956) 213-8494

Fax

(956) 213-8492

NPI assigned

Sep 1, 2015

Last updated

Sep 1, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Valley Neighborhood Pediatrics

  • Primary Care Clinic/Center
  • McAllen, TX
  • NPI 1164899654
  NPD (past)

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1265809768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 LAKE SHORE HARBOUR DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597623",
            "telephone_number": "917-204-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 BUDDY OWENS AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045201",
            "telephone_number": "956-213-8494",
            "fax_number": "956-213-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOCHUKWU",
        "first_name": "IKENNA",
        "middle_name": "SAMUEL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K6377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adora Alabado Usudan, R.N.,BSN, CCRN
• Usv Optical Inc.
• Uthrgv Ambulatory Surgery Center McAllen LLC
• Utmb Regional Maternal and Child Health Program (UTMB RMCHP-McAllen)
• Uvalde County Hospital Authority (Briarcliff Nursing and Rehabilitation Center)
• V & V Medial Equipment
• Val Med LLC (Med Aid Bicentennial)
• Val Verde County Hospital District (Windsor Las Palmas Nursing and Rehabilitation Center)
• Arnoldo Aaron Valadez, CRNA
• Domingo Valadez, DDS,MSD

• Primary Care Clinic/Center in McAllen, TX
• Providers in McAllen, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.