OKOLOCHA MEDICAL CORPORATION (NPI# 1588016752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588016752 |
| Entity Type | Organization |
| Organization Name | OKOLOCHA MEDICAL CORPORATION |
| Practice Address |
2054 Grant St Gary IN 46404-3060 |
| Practice Telephone | 2199497540 |
| Practice Fax Number | 2199497545 |
| Mailing Telephone | 2199497540 |
| Mailing Fax Number | 2199497545 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Authorized Official Name | PAUL OKOLOCHA (OWNER) |
| Authorized Official Telephone | 2199497540 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71004976 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201272350 | 05 |
| Street Address |
2054 GRANT ST |
| City | GARY |
| State | IN |
| Zip Code | 46404-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902851330 | Okolocha Medical Corp. | Family Medicine | 2054 Grant St, Gary, IN 46404-3060 | 2006-05-24 |
| 1578763447 | Eunice Okolocha | Registered Nurse | 2054 Grant St, Gary, IN 46404-3060 | 2007-07-19 |
| 1629193321 | Paul Chike Okolocha | Family Medicine | 2054 Grant St, Gary, IN 46404-3060 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447672431 | Night Owl Inc. Home Care | In Home Supportive Care | 2209 Marshall St., Gary, IN 46404 | 2014-01-10 |
| 1881974608 | Verlilia Ann Pettigrew | Community Health Worker | 2144 Taney Pl, Gary, IN 46404 | 2011-08-24 |
| 1871682161 | Bmo Home Health Care Inc | Home Health | 1970 Grant Street, Gary, IN 46404 | 2006-10-12 |
| 1225064793 | Medical Supply Plus Inc | Durable Medical Equipment & Medical Supplies | 1982 Grant Street, Gary, IN 46404 | 2006-06-24 |
| 1275808065 | Suma Suresh Nair | Occupational Therapist | 2350 Taft Street, Timberview Health Care, Gary, IN 46404 | 2012-03-13 |
| 1093123234 | Lynne Marie Clapman | Nurse Practitioner | 1619 W. 5th Ave, Gary, IN 46404-0789 | 2014-07-31 |
| 1609193770 | Sandra A Scott | Custodial Care Facility | 300 Taft St, Gary, IN 46404-1016 | 2010-04-28 |
| 1760682652 | Marion Bernice Miller | Registered Nurse | 260 Arthur St, Gary, IN 46404-1118 | 2007-07-19 |
| 1932708575 | Jasmine Anita Johnson | Nurse's Aide | 431 Hayes St, Gary, IN 46404-1135 | 2020-10-24 |
| 1700086402 | Rosa L Murphy | Home Health Aide | 324 Mckinley St, Gary, IN 46404-1144 | 2007-07-20 |
| Find all providers in zip 46404 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381760 | Sharnita L Rice | Nurse Practitioner | 2104 W 12th Ave, Gary, IN 46404-2375 | 2019-11-20 |
| 1912556507 | Tamera Beth Ball | Nurse Practitioner | 150 Venus Drive, Gary, WV 24836 | 2019-09-06 |
| 1689927691 | Monique Shantae Rash | Nurse Practitioner | Rr 103 Supply Strwet, Gary, WV 24836-0507 | 2012-10-16 |
| 1033302955 | Nicole Yvette Richards | Nurse Practitioner | 3900 Calhoun St, Gary, IN 46408-1753 | 2007-08-23 |
| 1285723445 | Sharon R Totten | Nurse Practitioner | 1145 W 5th Ave, Gary, IN 46402-1704 | 2006-10-12 |
| 1336236611 | Ruby J Bailey | Nurse Practitioner | 2269 West 25th Avenue, Gary, IN 46404-4509 | 2006-10-06 |
| 1013516939 | Laresse Harris | Nurse Practitioner | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-21 |
| 1437760519 | Bianca Yasmin Rafidia Vargas | Nurse Practitioner | 650 Grant St, Gary, IN 46404-1533 | 2020-08-12 |
| 1336761576 | Lakeysha Patrice Freeny | Nurse Practitioner | 650 Grant St Ste 7, Gary, IN 46404-1551 | 2020-05-11 |
| 1609427350 | Jessica Robin Marcus | Nurse Practitioner | Rr 103 Supply Street, Gary, WV 24836 | 2019-09-24 |
| Find all providers in GARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.