Active NPI
Okee Ekenna, Inc
- Infectious Disease Physician
- Pascagoula, MS
National Provider Identifier
1306985395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 13816
- Legal business name
- OKEE EKENNA, INC
- Practice address
- 3702 Jefferson Ave
Pascagoula, MS 39563-6218 - Phone
- (228) 769-2588
- Fax
- (228) 769-2589
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Okechukwu Ekenna, MD
- Title
- Owner
- Phone
- (228) 769-2588
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 13816 | MS | Primary |
Addresses
Primary practice location
3702 Jefferson Ave
Pascagoula, MS 39563-6218
Mailing address
3702 Jefferson Ave
Pascagoula, MS 39563-6218
Phone (228) 769-2588
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009505210 | Other | MS | ALACAID |
| 414338860B | Other | MS | AHS STATE |
| 414338860B | Other | MS | BLUE CROSS |
| 04178015 | Medicaid | MS | |
| 110101525 | Other | MS | MEDICARE RAILROAD |
| 106036700 | Other | MS | USDOL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Pascagoula, MS
- NPI 1578678868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705536000000",
"number": "1306985395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 JEFFERSON AVE",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395636218",
"telephone_number": "228-769-2588",
"fax_number": "228-769-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 JEFFERSON AVE",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395636218",
"telephone_number": "228-769-2588",
"fax_number": "228-769-2589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OKEE EKENNA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A",
"authorized_official_last_name": "EKENNA",
"authorized_official_first_name": "OKECHUKWU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "228-769-2588",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "MS",
"license": "13816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALACAID",
"identifier": "009505210",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHS STATE",
"identifier": "414338860B",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "414338860B",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04178015",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "110101525",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USDOL",
"identifier": "106036700",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pascagoula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.