Organization Active NPI

Henry U. Isiocha LLC

  • Exclusive Provider Organization
  • Dover, DE
National Provider Identifier
1053612804
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
C1-0005027 Issued in DE
Legal business name
HENRY U. ISIOCHA LLC
Practice address
1177B S Governors Ave
Dover, DE 19904-6903
Phone
(302) 747-7903
Fax
(302) 747-7906
NPI assigned
Nov 10, 2010
Last updated
Dec 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Authorized official

Name
Henry U Isiocha, M.D.
Title
Physician
Phone
(302) 747-7903

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X C1-0005027 DE Primary
Point of Service 305S00000X C1-0005027 DE

Addresses

Primary practice location

1177B S Governors Ave
Dover, DE 19904-6903

Mailing address

1177B S Governors Ave
Dover, DE 19904-6903
Phone (302) 747-7903

National Provider Directory

National Provider Directory

Locations

1177B S Governors Ave
Dover, DE 19904
Phone (302) 674-8441

737 S Queen St
Ste 3
Dover, DE 19904
Phone (302) 747-7903

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1053612804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177B S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046903",
            "telephone_number": "302-747-7903",
            "fax_number": "302-747-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177B S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046903",
            "telephone_number": "302-747-7903",
            "fax_number": "302-747-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY U. ISIOCHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "ISIOCHA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "302-747-7903",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "DE",
            "license": "C1-0005027",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "DE",
            "license": "C1-0005027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.