Active NPI
Uchenna Scholastica Uchendu, M.D.
- Internal Medicine Physician
- Texarkana, AR
National Provider Identifier
1629188636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Practice address
- 910 Realtor Ave
Texarkana, AR 71854-1020 - Phone
- (870) 216-2242
- Fax
- (870) 216-2583
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NC | Primary |
Addresses
Primary practice location
910 Realtor Ave
Texarkana, AR 71854-1020
Mailing address
PO Box 6634
Texarkana, TX 75505-6634
Other names 1
- Dr. Uchenna Scholastica Otorgbolu / Otor
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200001229 | NC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629188636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6634",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755056634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 REALTOR AVE",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718541020",
"telephone_number": "870-216-2242",
"fax_number": "870-216-2583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UCHENDU",
"first_name": "UCHENNA",
"middle_name": "SCHOLASTICA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "UCHENNA",
"last_name": "OTORGBOLU / OTOR",
"middle_name": "SCHOLASTICA",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Texarkana, AR
- Jennifer Lynn Turner, LMSW, LPC
- Phillip Ashley Turner
- William Alex Turner
- Txknc, Inc. (Bailey Creek Health & Rehab)
- Amber Danielle Tyndell
- Sarah Umphries, LPE-I
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences (AHEC-SW All For Kids Pediatric Clinic)
- Candice Miranda Valmont, MD
- Ian James Valmont, MD
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.