ETEAKAMBA J UDOH MD
NPI 1063612885
Obstetrics & Gynecology in Altus, OK

Active since July 19, 2007PECOS Enrolled
101 S PARK LN, ALTUS, OK 73521(580) 379-6140(580) 379-6149 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2025, Jul 27, 2018 (2 updates tracked since 2018).

About Eteakamba J Udoh Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETEAKAMBA J UDOH MD (NPI 1063612885) is an individual obstetrics & gynecology provider in Altus, Oklahoma, licensed in Oklahoma (33569) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063612885
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameETEAKAMBA J UDOHCredential: MD
Location Address101 S PARK LNAltus, OK 73521
Mailing Address101 S Park LnAltus, OK 73521-5731 · (580) 379-6140 · Fax (580) 379-6149
Fax(580) 379-6149
Sole ProprietorNo
Enumeration DateJuly 19, 2007
Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
NPI 1063612885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in OK · 33569 Licensed in VA · 0101244682
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
101 S PARK LN, Altus, OK 73521

Other Names 1

Other Name (5)Eteakamba John Udoh

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eteakamba J Udoh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
101 S PARK LN
ALTUS, OK 73521
Surgery
101 S PARK LN
ALTUS, OK 73521
Obstetrics & Gynecology
101 S PARK LN
ALTUS, OK 73521
Clinic/Center (Rural Health)
101 S PARK LN, SUITE 100
ALTUS, OK 73521
Obstetrics & Gynecology
101 S PARK LN
ALTUS, OK 73521
Obstetrics & Gynecology
101 S PARK LN
ALTUS, OK 73521
Pediatrics
101 S PARK LN
ALTUS, OK 73521
Obstetrics & Gynecology
101 S PARK LN
ALTUS, OK 73521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eteakamba Udoh's NPI number?

The NPI number for Eteakamba Udoh is 1063612885. It was assigned to this individual provider in the NPPES registry on July 19, 2007. The provider is also known as Eteakamba John Udoh.

Where is Eteakamba Udoh located?

Eteakamba Udoh practices at 101 S Park Ln, Altus, OK 73521. The listed phone number is (580) 379-6140.

What is Eteakamba Udoh's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Eteakamba Udoh enrolled in Medicare?

Yes. Eteakamba Udoh is registered in the Medicare PECOS enrollment system.

What insurance does Eteakamba Udoh accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Community Health Choice, CommunityCare and Mending Health and 3 other insurers list Eteakamba Udoh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eteakamba Udoh was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.