Active NPI
Elihu Michael Okin, MD
- Orthopaedic Surgery Physician
- Philadelphia, PA
National Provider Identifier
1699747774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD014140E
- Practice address
- 9140 Academy Rd
Suite a
Philadelphia, PA 19114-2853 - Phone
- (215) 331-6050
- Fax
- (215) 331-6055
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD014140E | PA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 25MA02335000 | NJ |
Addresses
Primary practice location
9140 Academy Rd
Suite a
Philadelphia, PA 19114-2853
Mailing address
9140 Academy Rd
Suite a
Philadelphia, PA 19114-2853
Phone (215) 331-6050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00074891500001 | Medicaid | PA | |
| 0052390000 | Other | PA | KEYSTONE |
| 037952 | Other | PA | BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD014140E | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fracture Bracing | Past | Accepting new patients | |
| Delaware Valley Orthopaedic Assoc LTD. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1699747774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9140 ACADEMY RD",
"address_2": "SUITE A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191142853",
"telephone_number": "215-331-6050",
"fax_number": "215-331-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9140 ACADEMY RD",
"address_2": "SUITE A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191142853",
"telephone_number": "215-331-6050",
"fax_number": "215-331-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKIN",
"first_name": "ELIHU",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD014140E",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MA02335000",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00074891500001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0052390000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "037952",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.