NPIMap

Organization Active NPI

Raphael E Nwojo MD PA

  • Otolaryngology Physician
  • Odessa, TX
National Provider Identifier
1831654045
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
RAPHAEL E NWOJO MD PA
Practice address
540 W 5TH St Ste 410
Odessa, TX 79761-5067
Phone
(432) 640-6360
NPI assigned
Feb 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Dr. Raphael Ezera Nwojo, MDNPI 1891083689
Title
Owner
Phone
(432) 640-6360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

540 W 5TH St Ste 410
Odessa, TX 79761-5067

Mailing address

PO Box 3146
Odessa, TX 79760-3146
Phone (432) 640-6360

Other names 1

  • West Texas Ear, Nose, Throat and Sinus Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190327000231 TX Part B Supplier - Clinic/Group Practice 6305186412 Receives reassigned benefits from 2 practitioners
Practice locations: Odessa, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

225 N Lincoln Ave
Odessa, TX 79761
Phone (432) 580-0260

540 W 5th St
Ste 140
Odessa, TX 79761

540 W 5th St
Ste 410
Odessa, TX 79761
Phone (432) 333-8808

Practitioners & affiliated clinicians

Practitioners 10

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": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1831654045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3146",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797603146",
            "telephone_number": "432-640-6360",
            "fax_number": "432-640-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST STE 410",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615067",
            "telephone_number": "432-640-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL E NWOJO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "NWOJO",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "EZERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-640-6360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Texas Ear, Nose, Throat and Sinus Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.