NPIMap

Individual provider Active NPI

Obinna Chukwuocha, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Plano, TX
National Provider Identifier
1316997455
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
L9145 Issued in TX
Practice address
5400 W Plano Pkwy
Suite 230
Plano, TX 75093-4852
Phone
(972) 818-8800
NPI assigned
May 11, 2006
Last updated
Jun 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X L9145 TX Primary

Addresses

Primary practice location

5400 W Plano Pkwy
Suite 230
Plano, TX 75093-4852

Mailing address

5400 W Plano Pkwy
Suite 230
Plano, TX 75093-4852
Phone (972) 818-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Worthy Weight Loss Past Accepting new patients
Harold Wagner DO PA Past Accepting new patients
C a Bloom MD PLLC Past Accepting new patients
Complete Family Practice & Sports Medicine, PA Sports Medicine PastSince Jul 1, 2006 Accepting new patients
Gaven, P.a. Past Accepting new patients
Indelible Health & Wellness LLC Past Accepting new patients
Wise Clinical Care Associates Past Accepting new patients
Emergency Medicine Physicians of Dallas PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: obinna.chukwuocha@3738.securemail.prognocis.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1316997455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 W PLANO PKWY",
            "address_2": "SUITE 230",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934852",
            "telephone_number": "972-818-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W PLANO PKWY",
            "address_2": "SUITE 230",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934852",
            "telephone_number": "972-818-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUOCHA",
        "first_name": "OBINNA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "L9145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.