Organization Active NPI

Stanislaus Nwafor Uzoigwe MD PA

  • Pediatrics Physician
  • Roma, TX
National Provider Identifier
1851691307
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
STANISLAUS NWAFOR UZOIGWE MD PA
Practice address
1505 N Grant St Ste 1
Roma, TX 78584-5429
Phone
(956) 847-4007
Fax
(956) 488-0550
NPI assigned
Nov 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Ana Falcon
Title
Credentialing Clerk
Phone
(956) 488-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1505 N Grant St Ste 1
Roma, TX 78584-5429

Mailing address

201 E 2ND St
Rio Grande City, TX 78582-3803
Phone (956) 488-1200

Other identifiers 1

IdentifierTypeStateIssuer
163872801MedicaidTX

Other names 1

  • Pediatric Practice Association Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.ppaclinics.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Practice Association8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1402 N Grant St
Ste A
Roma, TX 78584

1404 N Grant St
Ste A
Roma, TX 78584

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1851691307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 2ND ST",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785823803",
            "telephone_number": "956-488-1200",
            "fax_number": "956-488-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N GRANT ST STE 1",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785845429",
            "telephone_number": "956-847-4007",
            "fax_number": "956-488-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISLAUS NWAFOR UZOIGWE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "FALCON",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "CREDENTIALING CLERK",
        "authorized_official_telephone_number": "956-488-1200"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163872801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ppaclinics.com",
            "affiliation": "N",
            "endpointDescription": "patient portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1505 N Grant St Ste 1",
            "city": "Roma",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785845429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pediatric Practice Association",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Roma, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.