Organization Active NPI

Okey Okoli, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1386829828
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L1418 Issued in TX
Legal business name
OKEY OKOLI, M.D., P.A.
Doing business as
advanced women's center
Practice address
14100 Nacogdoches Rd
Ste 140
San Antonio, TX 78247-1903
Phone
(210) 333-8895
Fax
(210) 599-3693
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Joann Vega
Title
Billing
Phone
(210) 333-8895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X L1418 TX Primary

Addresses

Primary practice location

14100 Nacogdoches Rd
Ste 140
San Antonio, TX 78247-1903

Mailing address

PO Box 691546
San Antonio, TX 78269-1546
Phone (210) 333-8895

Other identifiers 1

IdentifierTypeStateIssuer
163240801MedicaidTX

Other names 1

  • advanced women's center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607001466 TX Part B Supplier - Clinic/Group Practice 1557344041 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

4212 E Southcross Blvd
Ste 215
San Antonio, TX 78222
Phone 2103440164149

13035 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 333-8895

14100 Nacogdoches Rd
Ste 140
San Antonio, TX 78247
Phone (210) 333-8895

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1386829828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691546",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782691546",
            "telephone_number": "210-333-8895",
            "fax_number": "210-599-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 NACOGDOCHES RD",
            "address_2": "STE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471903",
            "telephone_number": "210-333-8895",
            "fax_number": "210-599-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEY OKOLI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "210-333-8895"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L1418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163240801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "advanced women's center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.

Verify at the official NPI Registry.