Active NPI
Dr Edward Chieke Nwanegbo PA
- Family Medicine Physician
- Littlefield, TX
National Provider Identifier
1801149869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P2906
- Legal business name
- DR EDWARD CHIEKE NWANEGBO PA
- Practice address
- 1600 S Sunset Ave
Littlefield, TX 79339-4810 - Phone
- (806) 385-6424
- Fax
- (806) 385-4305
- NPI assigned
- Oct 16, 2012
- Last updated
- Jun 14, 2013
- 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. Edward Chieke Nwanegbo, M.D.
- Title
- Owner/ Physician
- Phone
- (806) 385-6424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P2906 | TX | Primary |
Addresses
Primary practice location
1600 S Sunset Ave
Littlefield, TX 79339-4810
Mailing address
1600 S Sunset Ave
Littlefield, TX 79339-4810
Phone (806) 385-6424
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314194701 | Medicaid | TX | |
| 314194702 | Medicaid | TX | |
| 8DP363 | Other | TX | BCBS INDIVIDUAL |
| 0007YJ | Other | TX | BCBS GROUP |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371168000000",
"number": "1801149869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S SUNSET AVE",
"city": "LITTLEFIELD",
"state": "TX",
"postal_code": "793394810",
"telephone_number": "806-385-6424",
"fax_number": "806-385-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S SUNSET AVE",
"city": "LITTLEFIELD",
"state": "TX",
"postal_code": "793394810",
"telephone_number": "806-385-6424",
"fax_number": "806-385-4305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR EDWARD CHIEKE NWANEGBO PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-16",
"last_updated": "2013-06-14",
"status": "A",
"authorized_official_last_name": "NWANEGBO",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "CHIEKE",
"authorized_official_title_or_position": "OWNER/ PHYSICIAN",
"authorized_official_telephone_number": "806-385-6424",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P2906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "314194701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "314194702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "8DP363",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "0007YJ",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Littlefield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.