Samuel Chukwudi Chidoka, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA03684 Issued in TX

Practice address

11200 Westheimer
953
Houston, TX 77042

Phone

(713) 243-8728

Fax

(713) 243-8759

NPI assigned

Aug 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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.

• Center Point Medical Group Inc.

  • General Practice Physician
  • Houston, TX
  • NPI 1861680035
  NPD (past)
• Divine Touch Healthcare Systems

  • Clinical Neuropsychologist
  • Houston, TX
  • NPI 1801984539
  NPD (past)
• Medpartners Inc

  dba Performance Medical Clinic

  • Infectious Disease Physician
  • Houston, TX
  • NPI 1083833180
  NPD (past)
• United America Home Health Services, Inc

  • Home Health Agency
  • Houston, TX
  • NPI 1124141015
  NPD (past)
• United Diagnostic Inc.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1801043567
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467469981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 WESTWICK",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77082",
            "telephone_number": "281-770-1279",
            "fax_number": "713-243-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 WESTHEIMER",
            "address_2": "953",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77042",
            "telephone_number": "713-243-8728",
            "fax_number": "713-243-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDOKA",
        "first_name": "SAMUEL",
        "middle_name": "CHUKWUDI",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chichi Living Center LLC
• Ozoemena Eugenia Chidebe, RN
• Cathleen Yvonne Chidester, PA-C
• Chidex Case Management Services
• Chidinmaenterprise LLC (Amourr Care Activity Day Center)
• Stella Chidoka, RN
• Felicia Chidolue, NP
• Chibuike Chidomere
• Ikechukwu C Chidomere
• Mabel Uju Chidozie

• Medical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.