Ngozi Rosemary Okolonwamu, PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1633 Issued in OK

Practice address

8803 S 101St East Ave
Suite #350
Tulsa, OK 74133-5726

Phone

(918) 615-3750

Fax

(918) 615-3751

NPI assigned

Sep 15, 2007

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: nokolonwamu149770@ahs.direct-ci.com

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189814400000",
    "number": "1609062413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE",
            "address_2": "SUITE #350",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335726",
            "telephone_number": "918-615-3750",
            "fax_number": "918-615-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE",
            "address_2": "SUITE #350",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335726",
            "telephone_number": "918-615-3750",
            "fax_number": "918-615-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOLONWAMU",
        "first_name": "NGOZI",
        "middle_name": "ROSEMARY",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-15",
        "last_updated": "2007-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Wisdom Teeth Center
• Oklahoma Wound Care JJ PC
• Oklahoma Wound Care, P.C.
• Oklahomans for Equality Inc (OKEQ Health Clinic)
• Okmulgee Radiology, Inc
• Uchenna Okolonwamu, P.A
• Serah Okoro
• Oktx
• Peter Azuka Okwuasaba, MD
• Caroline Olayinka Ola

• Medical Physician Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2007; 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.