Individual provider Active NPI

Chiedza G Jokonya, MD

  • Family Medicine Physician
  • South Berwick, ME
National Provider Identifier
1043314313
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD17316 Issued in ME
Practice address
31 Colcord Street
South Berwick, ME 03908-1004
Phone
(207) 384-4949
Fax
(207) 384-5700
NPI assigned
Sep 8, 2006
Last updated
Apr 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD17316 ME Primary
Family Medicine Physician 207Q00000X 15304 NH

Addresses

Primary practice location

31 Colcord Street
South Berwick, ME 03908-1004

Mailing address

789 Central Ave
Dover, NH 03820-2526
Phone (207) 384-4949

Other identifiers 3

IdentifierTypeStateIssuer
P01127059OtherMERR MEDICARE
3074511MedicaidNH
1043314313MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070417000409 ME Practitioner - Family Practice 2062517253 Reassigns benefits to 1 organization
I20140123001435 NH Practitioner - Family Practice 2062517253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Members Way
200 Prompt Care
Dover, NH 03820-5933
Phone (603) 609-6930

31 Colcord St
South Berwick, ME 03908-1004
Phone (207) 384-4949

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD17316MEMDFamily Medicine Physician
15304NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Sep 12, 2011 Accepting new patients
Wentworth Douglass Physician Corporation Family Medicine CurrentSince Sep 12, 2011 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients

Locations

31 Colcord St
South Berwick, ME 03908
Phone (207) 384-4022

10 Members Way
Dover, NH 03820
Phone (603) 740-2307

10 Members Way
Ste 200
Dover, NH 03820
Phone (603) 516-4256

15 Old Rollinsford Rd
Ste 204
Dover, NH 03820
Phone (603) 740-2130

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

65 Calef Hwy
Ste 200
Lee, NH 03861
Phone (603) 868-3300

67 Corporate Dr
Fl 3
Portsmouth, NH 03801
Phone (603) 610-8050

85 Main St
Somersworth, NH 03878
Phone (603) 692-5552

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jokonya.chiedza.wdh@direct.partners.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1043314313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "207-384-4949",
            "fax_number": "207-384-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 COLCORD STREET",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081004",
            "telephone_number": "207-384-4949",
            "fax_number": "207-384-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOKONYA",
        "first_name": "CHIEDZA",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD17316",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "15304",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01127059",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074511",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043314313",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Berwick, ME

Sources for this page

Verify at the official NPI Registry.