Charles Okechukwu Onyeama, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

N8831 Issued in TX

Practice address

625 Parkview Drive
Suite 102
Trophy Club, TX 76262

Phone

(817) 400-1572

NPI assigned

Aug 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10021/brand/1/csg/1/fhir/r4
• Direct secure messaging: charles.onyeama.1@10021.direct.athenahealth.com

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.

• Trophy Club Pediatrics PA

  • Primary Care Clinic/Center
  • Trophy Club, TX
  • NPI 1083034839
  NPD (past) Authorized official

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1821244781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762620336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PARKVIEW DRIVE",
            "address_2": "SUITE 102",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "76262",
            "telephone_number": "817-400-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEAMA",
        "first_name": "CHARLES",
        "middle_name": "OKECHUKWU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125051985",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N8831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Noel, O.D.
• North Central Texas Orthopaedics and Sports Medicine PA
• North Texas Center for Oral and Maxillofacial Surgery
• Lily Ankrah Obioha
• Similoluwa Olutomiwa Olushola
• Robert Lamar Owsley, D.D.S.
• Anthonia Oyedele, NP
• Parkview Dental, PLLC
• Kelley Meehan Pearson, PT, PCS
• Laura E. Pena, M.D.

• Pediatrics Physician in Trophy Club, TX
• Providers in Trophy Club, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.