Individual provider Active NPI

Neil Howard Okum, M.D.

  • Otolaryngology Physician
  • Hamilton, OH
National Provider Identifier
1518966985
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35. 039120 Issued in OH
Practice address
3145 Hamilton Mason Rd
Suite 200
Hamilton, OH 45011-8557
Phone
(513) 246-7000
Fax
(513) 874-0176
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35. 039120 OH Primary

Addresses

Primary practice location

3145 Hamilton Mason Rd
Suite 200
Hamilton, OH 45011-8557

Mailing address

4600 Wesley Ave Ste N
Cincinnati, OH 45212-2274
Phone (513) 246-7800

Other identifiers 2

IdentifierTypeStateIssuer
0397440MedicaidOH
100340870AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35. 039120OHMDOtolaryngology Physician

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1518966985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 WESLEY AVE STE N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122274",
            "telephone_number": "513-246-7800",
            "fax_number": "513-246-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 HAMILTON MASON RD",
            "address_2": "SUITE 200",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450118557",
            "telephone_number": "513-246-7000",
            "fax_number": "513-874-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUM",
        "first_name": "NEIL",
        "middle_name": "HOWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35. 039120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0397440",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100340870A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.