Excelicare Medical Group PLLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

P3145 Issued in TX

Legal business name

EXCELICARE MEDICAL GROUP PLLC

Practice address

14831 Jackson Sawmill LN
Sugar Land, TX 77498-2086

Phone

(202) 492-8519

NPI assigned

Oct 1, 2016

Last updated

Oct 1, 2016By 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

Nneka U Edokpayi, MD

Title

Owner

Phone

(202) 492-8519

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475280000000",
    "number": "1700335783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14831 JACKSON SAWMILL LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14831 JACKSON SAWMILL LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982086",
            "telephone_number": "202-492-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELICARE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-01",
        "last_updated": "2016-10-01",
        "status": "A",
        "authorized_official_last_name": "EDOKPAYI",
        "authorized_official_first_name": "NNEKA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-492-8519",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P3145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hospitalist Physician in Sugar Land, TX
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• Hospitalist Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2016; 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.