Delta Spine and Pain Clinic PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

N4814 Issued in TX

Legal business name

DELTA SPINE AND PAIN CLINIC PA

Practice address

12000 Richmond Ave Ste 270
Houston, TX 77082-2431

Phone

(281) 741-3243

Fax

(281) 741-8763

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Johnson Ukpede, MDNPI 1760704068

Title

Physician/Owner

Phone

(281) 741-3243

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnson Akpoba Ukpede, MD

  • Pain Medicine (Anesthesiology) Physician
  • Houston, TX
  • NPI 1760704068
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1740645787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 RICHMOND AVE STE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822431",
            "telephone_number": "281-741-3243",
            "fax_number": "281-741-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 RICHMOND AVE STE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822431",
            "telephone_number": "281-741-3243",
            "fax_number": "281-741-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA SPINE AND PAIN CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "UKPEDE",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "281-741-3243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "N4814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Clinic
• Delta Dental Smile
• Delta Emergency Service LLC
• Delta Health Services LLC
• Delta Healthcare LLC
• Delta Studies, LLC
• Delta X-Ray Inc.
• Deltoks Mental Healthcare Group PLLC
• Tracy Deltoro, COTA
• Katie Jean Delucia, PA-C

• Pain Medicine (Anesthesiology) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.