Jo Anne Wise Edoka, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J3788 Issued in TX

Practice address

805 E 32ND St
Suite 102
Austin, TX 78705-2537

Phone

(512) 582-1201

Fax

(512) 582-1205

NPI assigned

Sep 26, 2006

Last updated

Jun 30, 2012By the provider in NPPES

Sex

Female

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

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• TCH Pediatric Associates, Inc

  dba TCP Grand Parkway

  • Pediatrics Physician
  • Sugar Land, TX
  • NPI 1861492654
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341014400000",
    "number": "1700987500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E 32ND ST",
            "address_2": "SUITE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052537",
            "telephone_number": "512-582-1201",
            "fax_number": "512-582-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E 32ND ST",
            "address_2": "SUITE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052537",
            "telephone_number": "512-582-1201",
            "fax_number": "512-582-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOKA",
        "first_name": "JO ANNE",
        "middle_name": "WISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J3788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133377508",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Edmondson, LMFT-A
• Larry Edmondson, MD
• Vernon J Edmondson, APRN-CNP
• Andrew Edmunds
• Emmanuel Chukwelo Edoka, M.D
• Sarah Edrington
• Andrew M Edson, M.MFT., LMFT
• Eduardo I. Garcia, M.D. & Associates
• Eduardo J. Agueros M.D. PA. (Clinica Siete)
• Ana M. Eduardo, M.D.

• Pediatrics Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.