OKOLOCHA MEDICAL CORP. (NPI# 1902851330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902851330 |
| Entity Type | Organization |
| Organization Name | OKOLOCHA MEDICAL CORP. |
| Practice Address |
2054 Grant St Gary IN 46404-3060 |
| Mailing Address |
1314 Fitzgerald Dr Munster IN 46321-4204 |
| Practice Telephone | 2199497540 |
| Practice Fax Number | 2199497545 |
| Mailing Telephone | 2199224802 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PAUL CHIKE OKOLOCHA (PHYSICIAN) |
| Authorized Official Telephone | 2199497540 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01041856 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BC/BS | 000000285585 | 01 |
| Street Address |
2054 GRANT ST |
| City | GARY |
| State | IN |
| Zip Code | 46404-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588016752 | Okolocha Medical Corporation | Nurse Practitioner | 2054 Grant St, Gary, IN 46404-3060 | 2016-07-12 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725292 | Tracey L Lester | Family Medicine | 103 Supply Street, Gary, WV 24836 | 2019-11-20 |
| 1811209398 | Mona Kaufman Stern | Family Medicine | 7535 E. Harold Ave, Gary, IN 46403-2146 | 2010-07-13 |
| 1356476287 | Chube Medical Corporation | Family Medicine | 1701 Broadway, Gary, IN 46407 | 2007-02-22 |
| 1245286137 | David R Carr | Family Medicine | Route 103 Supply Street, Gary, WV 24836 | 2006-05-25 |
| 1255326088 | John Roger Ray | Family Medicine | Rr 103 Supply Street, Gary, WV 24836-0507 | 2005-09-19 |
| 1417942707 | Nathaniel T Ross | Family Medicine | 1619 W 5th Ave, Gary, IN 46404-1506 | 2005-09-13 |
| 1396730644 | David E Ross Jr. | Family Medicine | 1619 W 5th Avenue, Gary, IN 46404-1506 | 2005-09-13 |
| 1801894076 | Teofilo S Bautista | Family Medicine | 642 S Lake St, Gary, IN 46403-2967 | 2005-07-12 |
| 1902809379 | Ram C Gupta | Family Medicine | 2269 W 25th Ave, Gary, IN 46404-3367 | 2005-05-31 |
| 1174030605 | Chube2 Primary Care LLC | Family Medicine | 600 Grant St, Gary, IN 46402-6001 | 2018-01-05 |
| 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.