Emmanuel Ositadinma Nwadeyi, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04693 Issued in TX

Practice address

10420 Huffines Dr
Rowlett, TX 75089-8569

Phone

(214) 315-5255

NPI assigned

Feb 17, 2009

Last updated

Feb 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Providence Wound Care LLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1689417206
  NPD Authorized official
• Americare Solutions LLC

  dba AmeriCare Medical Groiup

  • Primary Care Nurse Practitioner
  • Arlington, TX
  • NPI 1124670443
  Medicare reassignment
• 7 Point Medical Care Center

  • Health Maintenance Organization
  • Garland, TX
  • NPI 1609184712
  Authorized official Same address or phone
• Kadel Home Health Agency Inc

  • Home Health Agency
  • Garland, TX
  • NPI 1891721544
  NPD (past) Authorized official
• Starz Healthcare LLC

  dba Starz Wound Care Services

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1043030752
  Authorized official Same address or phone
• Benedict Olusola MD PA

  • Specialist
  • Desoto, TX
  • NPI 1396833125
  NPD (past)
• Christian F Sanchez, MD, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1801837794
  NPD (past)
• Greater Houston Primary Care PA

  • Family Medicine Physician
  • Houston, TX
  • NPI 1801976667
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1992944821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 HUFFINES DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898569",
            "telephone_number": "214-315-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 HUFFINES DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898569",
            "telephone_number": "214-315-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWADEYI",
        "first_name": "EMMANUEL",
        "middle_name": "OSITADINMA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYICIAN ASSISTANT LICENSE NUMBER",
            "identifier": "PA04693",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Texas Pathology Services PA
• North Texas Pro Surgical Assist
• NSNP 1, PLLC (Texas Brain and Spine)
• Nuch of Texas (MedPost Urgent Care - Rowlett)
• Mary Zan Nutting, RBT
• Okey Nwagbara
• Kenechukwu Nwankwo, D.D.S
• Tobenna Igweonu Nwizu, M.D.
• Sam Nwosu
• Nytellx Management Group LLC

• Physician Assistant in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.