Organization Active NPI

Okky Oei MD PLC

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1679001168
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
13583 Issued in AZ
Legal business name
OKKY OEI MD PLC
Practice address
2801 N 33Rd Ave Ste 200
Phoenix, AZ 85009-1445
Phone
(602) 415-1111
Fax
(602) 415-1417
NPI assigned
May 26, 2017
Last updated
May 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Authorized official

Name
Kirsten A Sorensen
Title
Administrator
Phone
(602) 431-1152

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 13583 AZ
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 13583 AZ Primary

Addresses

Primary practice location

2801 N 33Rd Ave Ste 200
Phoenix, AZ 85009-1445

Mailing address

PO Box 52022
Phoenix, AZ 85072-2022
Phone (602) 431-1152

Other identifiers 1

IdentifierTypeStateIssuer
13583OtherAZLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170803002178 AZ Part B Supplier - Clinic/Group Practice 5294006623 Receives reassigned benefits from 5 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

2801 N 33rd Ave
Ste 200
Phoenix, AZ 85009
Phone (602) 415-1111

15030 N Hayden Rd
Ste 120
Scottsdale, AZ 85260
Phone (480) 269-9220

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1679001168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52022",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722022",
            "telephone_number": "602-431-1152",
            "fax_number": "602-431-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N 33RD AVE STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850091445",
            "telephone_number": "602-415-1111",
            "fax_number": "602-415-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKKY OEI MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-431-1152"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "13583",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "13583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "13583",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.