Ejine Okoroafor M D LTD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

15734 Issued in NV

Legal business name

EJINE OKOROAFOR M D LTD

Practice address

6765 W Charleston Blvd Ste 110
Las Vegas, NV 89146-2001

Phone

(702) 380-8200

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Ejine Okoroafor, MDNPI 1003164377

Title

President

Phone

(702) 256-3637

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

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

• Ejine Okoroafor, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1003164377
  Medicare reassignment NPD Authorized official
• Chika Okechukwu, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1306290150
  Medicare reassignment NPD

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1689069585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 W SAHARA AVE",
            "address_2": "SUITE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460355",
            "telephone_number": "702-380-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6765 W CHARLESTON BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462001",
            "telephone_number": "702-380-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJINE OKOROAFOR M D LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "OKOROAFOR",
        "authorized_official_first_name": "EJINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-256-3637",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "15734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Eisinga, APRN
• David Eisinger
• Rya Michele Eisma, RN
• Mathew Eissa, PHARMD
• Ejaz Kamboj, MD, Inc.
• Chima Ejiofor
• Olive O Ejiofor, RN
• Vivien Amarachi Ejiofor
• Ejo Mannaparambil John MD PLLC
• Amenbisayo Ekawele

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.