Mdmac Logistics PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MDMAC LOGISTICS PLLC

Doing business as

Rusk Health Clinic

Practice address

133 N Henderson St
Rusk, TX 75785-1372

Phone

(903) 683-0559

NPI assigned

Oct 6, 2023

Last updated

Mar 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ezenwanyi Onwuchekwa, APRN,FNPNPI 1588218754

Title

Nurse Practitioner

Phone

(903) 683-0559

Specialties & licenses 1

Addresses

Other names 1

• RUSK HEALTH CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ezenwanyi Onwuchekwa

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1588218754
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1659152510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N HENDERSON ST",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851372",
            "telephone_number": "903-683-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N HENDERSON ST",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851372",
            "telephone_number": "903-683-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDMAC LOGISTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "ONWUCHEKWA",
        "authorized_official_first_name": "EZENWANYI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "903-683-0559",
        "authorized_official_credential": "APRN,FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUSK HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Nicole Main, RN, PMHNP-BC
• Mary Manis, M.S. M.D.
• James Blaine Manker, DDS
• Natisha Lee Martin, MSN, APRN, PMHNP-BC
• Qantasia S Matthews
• Belinda Meharry, APRN, PMHNP-BC
• Tina M Mergerson, LMSW
• Milk & Honey Lactation Services LLC
• Milk & Honey Lactation Services LLC
• Vicki Ann Moceo, PMHNP-BC

• Family Nurse Practitioner in Rusk, TX
• Providers in Rusk, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.