Eastway Medical Clinic & Urgent Care, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

EASTWAY MEDICAL CLINIC & URGENT CARE, PLLC

Practice address

1220 Eastway Dr
Charlotte, NC 28205-2202

Phone

(704) 360-8893

Fax

(704) 626-6515

NPI assigned

Apr 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sylvia Ifeyinwa Okoye, M.D.NPI 1285883884

Title

Managing Member

Phone

(704) 360-8893

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Sylvia Ifeyinwa Okoye, M.D

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1285883884
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Chiso Okoye, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Charlotte, NC
  • NPI 1063407625
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1447604376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 EASTWAY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052202",
            "telephone_number": "704-360-8893",
            "fax_number": "704-626-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 EASTWAY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052202",
            "telephone_number": "704-360-8893",
            "fax_number": "704-626-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWAY MEDICAL CLINIC & URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "OKOYE",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "IFEYINWA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "704-360-8893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.