Organization Active NPI

American Surgicare PC

  • Surgery Physician
  • Washington, DC
National Provider Identifier
1497805402
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
AMERICAN SURGICARE PC
Practice address
1140 Varnum St NE
Suite #102
Washington, DC 20017
Phone
(202) 526-7091
Fax
(202) 526-7093
NPI assigned
Jan 11, 2007
Last updated
Jan 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Dr. Okay Harold Odocha, MD
Title
Surgeon President
Phone
(202) 526-7091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

1140 Varnum St NE
Suite #102
Washington, DC 20017

Mailing address

1140 Varnum St NE
Suite #102
Washington, DC 20017
Phone (202) 526-7091

Other identifiers 2

IdentifierTypeStateIssuer
029945200MedicaidDC
75410001OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Surgicorp Dr Okay Harold Odocha MD FACS Other name

National Provider Directory

National Provider Directory

Locations

1140 Varnum St NE
Ste 102
Washington, DC 20017
Phone (202) 636-3811

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1497805402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE",
            "address_2": "SUITE #102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20017",
            "telephone_number": "202-526-7091",
            "fax_number": "202-526-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE",
            "address_2": "SUITE #102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20017",
            "telephone_number": "202-526-7091",
            "fax_number": "202-526-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SURGICARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "ODOCHA",
        "authorized_official_first_name": "OKAY",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "SURGEON PRESIDENT",
        "authorized_official_telephone_number": "202-526-7091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029945200",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "75410001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgicorp Dr Okay Harold Odocha MD FACS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.