Individual provider Active NPI

Chinelo J Okonkwo, PA-C

  • Emergency Medicine Physician
  • Richmond, VA
National Provider Identifier
1093811937
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0110002236 Issued in VA
Practice address
5801 Bremo Rd
Richmond Community Emergency Associates Inc
Richmond, VA 23226-1907
Phone
(804) 287-7066
Fax
(804) 673-9531
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0110002236 VA Primary

Addresses

Primary practice location

5801 Bremo Rd
Richmond Community Emergency Associates Inc
Richmond, VA 23226-1907

Mailing address

3519 Ivyridge Dr
Chester, VA 23831-4953

Other identifiers 1

IdentifierTypeStateIssuer
0110002236OtherVAVA STATE LICENSE

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110002236VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Medical Services Current Accepting new patients
Virginia Emergency Associates Inc Emergency Medicine Past Accepting new patients
Richmond Community Emergency Assoc Emergency Medicine Past Accepting new patients
St Francis Emergency Associates Inc Emergency Medicine Past Accepting new patients
Richmond Emergency Physicians, Inc. Past Accepting new patients
Danville Emergency Group LLC Emergency Medicine Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093811937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 IVYRIDGE DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 BREMO RD",
            "address_2": "RICHMOND COMMUNITY EMERGENCY ASSOCIATES INC",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261907",
            "telephone_number": "804-287-7066",
            "fax_number": "804-673-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "CHINELO",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0110002236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA STATE LICENSE",
            "identifier": "0110002236",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.