Organization Active NPI

Henry-Norbert Ndekwe MD PC

  • Specialist
  • Lawton, OK
National Provider Identifier
1790957116
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21147 OK Issued in OK
Legal business name
HENRY-NORBERT NDEKWE MD PC
Practice address
3805 W Gore Blvd
Lawton, OK 73505-6334
Phone
(580) 581-1994
Fax
(580) 581-1285
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Henry-Norbert O Ndekwe, M.D.
Title
Ceo/Medical Director
Phone
(580) 581-1994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 21147 OK OK Primary

Addresses

Primary practice location

3805 W Gore Blvd
Lawton, OK 73505-6334

Mailing address

3805 West Gore Blvd
Lawton, OK 73505-6334
Phone (580) 581-1994

National Provider Directory

National Provider Directory

Locations

3805 W Gore Blvd
Lawton, OK 73505
Phone (580) 215-8694

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1790957116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 WEST GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056334",
            "telephone_number": "580-581-1994",
            "fax_number": "580-581-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056334",
            "telephone_number": "580-581-1994",
            "fax_number": "580-581-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY-NORBERT NDEKWE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "NDEKWE",
        "authorized_official_first_name": "HENRY-NORBERT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "580-581-1994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "21147 OK",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.