Elvis Osayi Efeovbokhan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301100323 Issued in MI

Practice address

138 Service Rd
A225 Clinical Center
East Lansing, MI 48824-1376

Phone

(517) 353-4941

Fax

(517) 432-3145

NPI assigned

Jul 3, 2012

Last updated

Jul 3, 2012By 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1487918579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B301 CLINICAL CTR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488241313",
            "telephone_number": "517-353-5100",
            "fax_number": "517-432-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 SERVICE RD",
            "address_2": "A225 CLINICAL CENTER",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488241376",
            "telephone_number": "517-353-4941",
            "fax_number": "517-432-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFEOVBOKHAN",
        "first_name": "ELVIS",
        "middle_name": "OSAYI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301100323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward W. Sparrow Hospital Association (Sparrow Hand Surgeons)
• Amanda Ann Edwards
• Kylee Edwards
• Shaleita Edwards, MT
• Zachary Edwards
• Janet W Eggert, PHD
• Rachel Ehnis, AU.D.
• Daniele Annette Eiland, PHD
• Talia Eisenhauer
• Ahmed A. El-Sanhouri, M.D.

• Internal Medicine Physician in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.