Active NPI
Stanley A Okoro, MD
- Plastic Surgery Physician
- Marietta, GA
National Provider Identifier
1255444063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 044295
- Practice address
- 2285 Asquith Ave SW
Suite 200
Marietta, GA 30008-6008 - Phone
- (770) 485-1554
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 044295 | GA | Primary |
Addresses
Primary practice location
2285 Asquith Ave SW
Suite 200
Marietta, GA 30008-6008
Mailing address
P. O. Box 388
Georgia Plastic & Reconstructive Surgery
Smyrna, GA 30081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Emergency Room Services, PA | Past | Accepting new patients | |
| Hondo Emergency Physicians PLLC | Past | Accepting new patients | |
| Oracle Anesthesia of Georgia LLC | Past | Accepting new patients | |
| Bellville Hospital District | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Plastic Surgery Physician
- Marietta, GA
- NPI 1447580790
-
- Anesthesiology Physician
- Hiram, GA
- NPI 1629350566
-
dba Bellville General Hospital
- General Acute Care Hospital
- Bellville, TX
- NPI 1457358103
-
- Emergency Medicine Physician
- Hondo, TX
- NPI 1659383685
-
- Emergency Medicine Physician
- Hondo, TX
- NPI 1275584781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353110400000",
"number": "1255444063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 388",
"address_2": "GEORGIA PLASTIC & RECONSTRUCTIVE SURGERY",
"city": "SMYRNA",
"state": "GA",
"postal_code": "30081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2285 ASQUITH AVE SW",
"address_2": "SUITE 200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300086008",
"telephone_number": "770-485-1554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKORO",
"first_name": "STANLEY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2012-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "GA",
"license": "044295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.