Anthony Ikenna Okafor

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11284 Issued in TX

Practice address

11212 State Highway 151
Suite 105-Medical Plaza II
San Antonio, TX 78251

Phone

(210) 309-1405

Fax

(210) 477-5224

NPI assigned

Jun 20, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northridge Behavioral Health PLLC

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1144788258
  NPD

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417477613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12317 ABBEY GDN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492791",
            "telephone_number": "512-659-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "address_2": "SUITE 105-MEDICAL PLAZA II",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-309-1405",
            "fax_number": "210-477-5224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5418 N Loop 1604 W",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782494558",
            "country_code": "US",
            "telephone_number": "210-600-4600",
            "fax_number": "210-600-4657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKAFOR",
        "first_name": "ANTHONY",
        "middle_name": "IKENNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bolanle Ojo, LCDC-I
• Grace Olawumi Ojo, NP
• Jackie Ojo
• Judith Ogiemwenva Ojo, DMD
• Adetunji Theophyllus Ojuade, LVN
• Augustine Obinna Okafor
• Chiamaka Cynthia Okafor
• Chinenye Ijeoma Okafor, FNP
• Lynda Gonzalez Okafor, FNP
• Nkechinyere Chinaemerem Okafor, MD

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.