Dr.Bonaventure C. Okoro MD, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

B05196541 Issued in OH

Legal business name

DR.BONAVENTURE C. OKORO MD, INC.

Practice address

5542 Airport Highway
Toledo, OH 43615-7304

Phone

(419) 865-6522

Fax

(419) 865-6523

NPI assigned

Sep 23, 2009

Organization subpart

No

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

Authorized official

Name

Bonaventure C Okoro, MD

Title

President

Phone

(419) 865-6522

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr.Bonaventure C. Okoro MD Inc Doing business as

Locations

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1073847091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5542 AIRPORT HWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157304",
            "telephone_number": "419-865-6522",
            "fax_number": "419-865-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5542 AIRPORT HIGHWAY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157304",
            "telephone_number": "419-865-6522",
            "fax_number": "419-865-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.BONAVENTURE C. OKORO MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "BONAVENTURE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-865-6522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "B05196541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008482",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr.Bonaventure C. Okoro MD Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.