Gary City Working and Procedure Clinic LLC-S

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GARY CITY WORKING AND PROCEDURE CLINIC LLC-S

Practice address

1701 Broadway
Gary, IN 46407-2238

Phone

(219) 882-0980

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Paul Okolocha, MD

Title

Owner

Phone

(219) 882-0980

Specialties & licenses 1

Addresses

Other names 1

• Gary City Urgent and Immediate Care LLC Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1164033676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464072238",
            "telephone_number": "219-882-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464072238",
            "telephone_number": "219-882-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY CITY WORKING AND PROCEDURE CLINIC LLC-S",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "OKOLOCHA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-882-0980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gary City Urgent and Immediate Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cynthia Galvan, M.D.
• Crystal Nicole Garcia, LMHC, LCACA, NCC
• Marie Garcia, RPT
• Naelah Gardner, PMHNP
• Timothy F Gardner, NP
• Gary Community Schools Corportion
• Gary Health Department
• Gary Health Department
• Gary Neighborhood Services
• Gary Pediatric & Family Dentistry

• Family Medicine Physician in Gary, IN
• Providers in Gary, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.