NPIMap

Organization Active NPI

Stanislaus Nwafor Uzoigwe MD PA

Doing business as Pediatric Practice Association

  • Pediatrics Physician
  • Zapata, TX
National Provider Identifier
1487911210
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
STANISLAUS NWAFOR UZOIGWE MD PA
Doing business as
Pediatric Practice Association
Practice address
1609 N US Highway 83
Zapata, TX 78076-3578
Phone
(956) 765-0770
Fax
(956) 765-0660
NPI assigned
Apr 18, 2012
Last updated
Sep 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Ana Falcon
Title
Credentialing Clerk
Phone
(956) 487-3802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1609 N US Highway 83
Zapata, TX 78076-3578

Mailing address

201 E 2ND St
Rio Grande City, TX 78582-3803
Phone (956) 488-1200

Other names 1

  • Pediatric Practice Association Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 1487911210. Details of each certification follow.

Rural health clinic certification: CCN 673915

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
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 4, 2010
Last certification
Jul 25, 2017
Ownership / control type
1A
Facility address
1609 US Hwy 83
Zapata, TX 78076

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Practice Association8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1487911210",
    "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": "956-488-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 N US HIGHWAY 83",
            "city": "ZAPATA",
            "state": "TX",
            "postal_code": "780763578",
            "telephone_number": "956-765-0770",
            "fax_number": "956-765-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISLAUS NWAFOR UZOIGWE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "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": "956-487-3802"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMDSoftware",
            "affiliation": "N",
            "address_1": "1609 N US Highway 83",
            "city": "Zapata",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780763578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pediatric Practice Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zapata, TX

Sources for this page

Verify at the official NPI Registry.