Individual provider Active NPI

Joanna Chioma Usifo, MD,MS.ABAIM

  • Rural Health Clinic/Center
  • Mifflintown, PA
National Provider Identifier
1083471411
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Practice address
24082 Route 35 N
Mifflintown, PA 17059-7926
Phone
(717) 915-6801
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X AA0006489052 PA
Clinical Informatics Physician 2083C0008X AA0006489052 PA
State or Local Public Health Clinic/Center 261QP0905X
Rural Health Clinic/Center 261QR1300X PA Primary

Addresses

Primary practice location

24082 Route 35 N
Mifflintown, PA 17059-7926

Mailing address

24082 PA-35
Beward Clinic
Mifflintown, PA 17059
Phone (717) 915-6801

Other identifiers 5

IdentifierTypeStateIssuer
307218024OtherFSMB
10929560OtherECFMG-EICS
C-UJ214271OtherEPIC ID
34607785OtherPAID NUMBER
72889OtherMDCN -LICENSE CERTIFICATE OF GOOD STANDING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AA0006489052PAMDClinical Informatics Physician

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1083471411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24082 PA-35",
            "address_2": "BEWARD CLINIC",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "17059",
            "telephone_number": "717-915-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24082 ROUTE 35 N",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170597926",
            "telephone_number": "717-915-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USIFO",
        "first_name": "JOANNA",
        "middle_name": "CHIOMA",
        "name_prefix": "Dr.",
        "credential": "MD,MS.ABAIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "AA0006489052",
            "primary": false
        },
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "PA",
            "license": "AA0006489052",
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FSMB",
            "identifier": "307218024",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG-EICS",
            "identifier": "10929560",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPIC ID",
            "identifier": "C-UJ214271",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID NUMBER",
            "identifier": "34607785",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCN -LICENSE CERTIFICATE OF GOOD STANDING",
            "identifier": "72889",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mifflintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.