Stanislaus Nwafor Uzoigwe, MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L4155 Issued in TX

Practice address

201 E 2ND St
Rio Grande City, TX 78582-3803

Phone

(956) 488-1200

Fax

(956) 488-9500

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stanislaus Nwafor Uzoigwe Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Rural health clinic certification: CCN 673893

Legal name

STANISLAUS NWAFOR UZOIGWE MD PA

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Oct 31, 2006

Last certification

Jul 17, 2018

Ownership / control type

1A

Organization structure

Sole ProprietorProprietary

Incorporated

May 2, 2002 in TX

Enrollment address

1505 N Grant St
Ste 1
Roma, TX 78584-5429

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Stanislaus Nwafor Uzoigwe MD PA

  • Rural Health Clinic/Center
  • Roma, TX
  • NPI 1710178181

  O20060620000031

  Same enrollment

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gulf Coast Behavioral Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Corpus Christi, TX
  • NPI 1104206226
  NPD
• Gulf Coast Psychiatric Hospital PLLC

  • Psychiatric Hospital
  • Corpus Christi, TX
  • NPI 1770935975
  NPD
• Texas Starr Community Health Center, PLLC

  • Clinic/Center
  • Rio Grande City, TX
  • NPI 1609026749
  NPD (past)
• Valley Medical Association, P.a.

  • Specialist
  • Roma, TX
  • NPI 1528258282
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1689618555",
    "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": "956-488-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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": "956-488-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOIGWE",
        "first_name": "STANISLAUS",
        "middle_name": "NWAFOR",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L4155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150513303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STANISLAUS",
            "last_name": "UZOIGWE",
            "middle_name": "NWAFOR",
            "credential": "MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yamilex Trevino, PHARMACY TECHNICIAN
• Trusting Care Home Health, Inc.
• Una Bendicion Home Health, LLC
• Upper Valley DME
• Usrc Rio Grande LLC
• David Valdez, P.A.
• Evangelina Valdez, FNP-BC
• Valencia Enterprices Inc. Dba Mi Casita Adult Day Care
• Luis Valencia, M.D.
• Rigoberto Valladares

• Pediatrics Physician in Rio Grande City, TX
• Providers in Rio Grande City, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.