Organization Active NPI

Theodore E Okechuku MD PA

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1982019535
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L0888 Issued in TX
Legal business name
THEODORE E OKECHUKU MD PA
Practice address
9205 Skillman St
Suite 117
Dallas, TX 75243-9031
Phone
(978) 816-3109
Fax
(972) 692-8422
NPI assigned
Jun 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Theodore E Okechuku, M.D.NPI 1619910445
Title
President
Phone
(978) 816-3109

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X L0888 TX Primary

Addresses

Primary practice location

9205 Skillman St
Suite 117
Dallas, TX 75243-9031

Mailing address

1400 Eastwick LN
Plano, TX 75093-2441
Phone (978) 816-3109

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1982019535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EASTWICK LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932441",
            "telephone_number": "978-816-3109",
            "fax_number": "972-692-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 SKILLMAN ST",
            "address_2": "SUITE 117",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439031",
            "telephone_number": "978-816-3109",
            "fax_number": "972-692-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE E OKECHUKU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "OKECHUKU",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-816-3109",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L0888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.