Ughanmwan Efeovbokhan, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP113326 Issued in TX

Practice address

8101 Roughrider Dr
Windcrest, TX 78239-2428

Phone

(210) 657-3700

Fax

(210) 657-3708

NPI assigned

Aug 24, 2006

Last updated

Jan 30, 2025By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Atlantic Medical, PLLCGroup PAC ID 2961566658, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atlanticmedicalclinic.ughanmwanefeovbokhan@151178.advancedmd-direct.com

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.

• Greater Sa House Calls, LLC

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1669701959
  Medicare reassignment Authorized official
• Atlantic Medical, PLLC

  • Primary Care Clinic/Center
  • San Antonio, TX
  • NPI 1992973200
  NPD Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1649387630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 ROUGHRIDER DR",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782392428",
            "telephone_number": "210-657-3700",
            "fax_number": "210-657-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 ROUGHRIDER DR",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782392428",
            "telephone_number": "210-657-3700",
            "fax_number": "210-657-3708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5309 Wurzbach Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782382431",
            "country_code": "US",
            "telephone_number": "210-647-4671",
            "fax_number": "210-647-7552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 E Main St",
            "address_purpose": "LOCATION",
            "city": "Eagle Pass",
            "state": "TX",
            "postal_code": "788524522",
            "country_code": "US",
            "telephone_number": "210-657-3700",
            "fax_number": "210-657-3708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4025 E Southcross Blvd Ste 30",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782223640",
            "country_code": "US",
            "telephone_number": "210-657-3700",
            "fax_number": "210-657-3708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EFEOVBOKHAN",
        "first_name": "UGHANMWAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "683669",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP113326",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "TX",
            "license": "683669",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167293301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marina De la Garza, DC
• Celissa Ann De Leon
• Dental Health Associates of Texas, PC (Windcrest Cosmetic Dentistry)
• Douglas Paul Dionne, M.D.
• Economical Pharmacy Services LLC
• Effective Community Medical Products
• Jessica Elias
• Ayisat Enifeni, MD
• Savannah Esparza
• Excel Ministries' Progressive Women's Center

• Gerontology Nurse Practitioner in Windcrest, TX
• Providers in Windcrest, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.