Stanislaus Nwafor Uzoigwe MD PA

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

L4155 Issued in TX

Legal business name

STANISLAUS NWAFOR UZOIGWE MD PA

Doing business as

Pediatric Practice Association

Practice address

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

Phone

(956) 849-4700

Fax

(956) 849-4704

NPI assigned

Aug 9, 2007

Organization subpart

No

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

Authorized official

Name

Ana Falcon

Title

Administrator

Phone

(956) 488-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatric Practice Association Doing business as

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

  • Pediatrics Physician
  • Rio Grande City, TX
  • NPI 1689618555

  O20060620000031

  Same enrollment

Locations

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.

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1710178181",
    "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": "1505 N GRANT ST STE 1",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785845429",
            "telephone_number": "956-849-4700",
            "fax_number": "956-849-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISLAUS NWAFOR UZOIGWE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "FALCON",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-488-1200"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "L4155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163872804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Practice Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Salinas, OTR
• Luis Armando Sandoval Jr., NREMT-P, LPN
• Brenda Santa Maria, SLP
• Smile Medical Equipment & Supplies
• St. Louis Angels LLC
• Stanislaus Nwafor Uzoigwe MD PA
• Starr County Hospital District (Roma Family Health Clinic)
• Starr County Memorial Hospital (Roma Family Health Clinic)
• Starr Pediatrics Health Clinic LLC
• Maria Valdez

• Rural Health Clinic/Center in Roma, TX
• Providers in Roma, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.