NPIMap

Organization Active NPI

Okechukwu Ifediora MDPC Inc

  • Nephrology Physician
  • Monroe, LA
National Provider Identifier
1417258278
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
09448R Issued in LA
Legal business name
OKECHUKWU IFEDIORA MDPC INC
Practice address
1908 Royal Ave
Monroe, LA 71201-5724
Phone
(318) 325-5435
Fax
(318) 325-8852
NPI assigned
Nov 10, 2010
Last updated
Nov 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Dr. Okechukwu C Ifediora, M.D.NPI 1457349292
Title
Physician/Owner
Phone
(318) 325-5435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 09448R LA Primary

Addresses

Primary practice location

1908 Royal Ave
Monroe, LA 71201-5724

Mailing address

1908 Royal Ave
Monroe, LA 71201-5724
Phone (318) 325-5435

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1417258278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 ROYAL AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015724",
            "telephone_number": "318-325-5435",
            "fax_number": "318-325-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 ROYAL AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015724",
            "telephone_number": "318-325-5435",
            "fax_number": "318-325-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKECHUKWU IFEDIORA MDPC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "IFEDIORA",
        "authorized_official_first_name": "OKECHUKWU",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "318-325-5435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "09448R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.