Organization Active NPI

Premier Urology, PA

  • Urology Physician
  • Kingwood, TX
National Provider Identifier
1740444371
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
M1988 Issued in TX
Legal business name
PREMIER UROLOGY, PA
Practice address
22751 Professional Dr
Suite 270
Kingwood, TX 77339-6021
Phone
(281) 358-0171
Fax
(281) 358-2194
NPI assigned
Jul 14, 2008
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Cordell Okezie Nwokeji, M.D.NPI 1235210774
Title
President
Phone
(281) 358-0171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X M1988 TX Primary

Addresses

Primary practice location

22751 Professional Dr
Suite 270
Kingwood, TX 77339-6021

Mailing address

P. O. Box 4346
Dept. 183
Houston, TX 77210-4346
Phone (713) 554-5304

Other identifiers 2

IdentifierTypeStateIssuer
00Z557OtherTXMEDICARE GROUP
0010RVOtherTXBLUE CROSS BLUE SHIELD GROUP

National Provider Directory

National Provider Directory

Locations

203 N College Ave
Ste 1002
Cleveland, TX 77327
Phone (281) 794-2089

22999 Highway 59 N
Ste 138
Kingwood, TX 77339
Phone (281) 794-2089

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1740444371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 4346",
            "address_2": "DEPT. 183",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "713-554-5304",
            "fax_number": "713-554-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22751 PROFESSIONAL DR",
            "address_2": "SUITE 270",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396021",
            "telephone_number": "281-358-0171",
            "fax_number": "281-358-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER UROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "NWOKEJI",
        "authorized_official_first_name": "CORDELL",
        "authorized_official_middle_name": "OKEZIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-358-0171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "M1988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00Z557",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP",
            "identifier": "0010RV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.