Individual provider Active NPI

Godfrey O Ukoh

  • Contractor
  • Houston, TX
National Provider Identifier
1780749200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
0064410 Issued in TX
Practice address
14601 Bellaire Blvd Ste 145
Houston, TX 77083-2540
Phone
(281) 933-8700
Fax
(281) 933-4992
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 0064410 TX Primary

Addresses

Primary practice location

14601 Bellaire Blvd Ste 145
Houston, TX 77083-2540

Mailing address

14601 Bellaire Blvd Ste 145
Houston, TX 77083-2540
Phone (281) 933-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0064410TXMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Presido Medical Supply Service LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780749200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 BELLAIRE BLVD STE 145",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770832540",
            "telephone_number": "281-933-8700",
            "fax_number": "281-933-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 BELLAIRE BLVD STE 145",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770832540",
            "telephone_number": "281-933-8700",
            "fax_number": "281-933-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKOH",
        "first_name": "GODFREY",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": "0064410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.