Active NPI
Premier Urology, PA
- Urology Physician
- Kingwood, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- M1988
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00Z557 | Other | TX | MEDICARE GROUP |
| 0010RV | Other | TX | BLUE CROSS BLUE SHIELD GROUP |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Urology Physician
- Kingwood, TX
- NPI 1235210774
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.