Active NPI
Andrea Uzuegbunem, PA-C
- Medical Physician Assistant
- Edmond, OK
National Provider Identifier
1326496183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2639
- Practice address
- 46 E 15TH St
Edmond, OK 73013-4301 - Phone
- (405) 844-5210
- NPI assigned
- Jun 1, 2016
- Last updated
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2639 | OK | Primary |
Addresses
Primary practice location
46 E 15TH St
Edmond, OK 73013-4301
Mailing address
2208 NW 173Rd St
Edmond, OK 73012-7146
Phone (269) 589-9049
Other practice location 1
129 Conner Rd
Hominy, OK 74035-2100
Phone (918) 594-1300
Other names 1
- Andrea Beach
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2639 | OK | MD | Occupational Therapy Assistant |
Organizations & group practices 2
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.
-
dba Access Medical Center
- Urgent Care Clinic/Center
- Edmond, OK
- NPI 1104056365
-
dba Access Medical Center
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1063479087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1326496183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 NW 173RD ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730127146",
"telephone_number": "269-589-9049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 E 15TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730134301",
"telephone_number": "405-844-5210"
}
],
"practiceLocations": [
{
"address_1": "129 Conner Rd",
"address_purpose": "LOCATION",
"city": "Hominy",
"state": "OK",
"postal_code": "740352100",
"country_code": "US",
"telephone_number": "918-594-1300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UZUEGBUNEM",
"first_name": "ANDREA",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-01",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "2639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "BEACH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.