Individual provider Active NPI

Stephanie C Okorie, MD

  • Family Medicine Physician
  • Rostraver Township, PA
National Provider Identifier
1700415817
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT221525 Issued in PA
Practice address
800 Plaza Dr Ste 210
Rostraver Township, PA 15012-4019
Phone
(724) 379-6850
NPI assigned
Apr 2, 2020
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X MT221525 PA Primary

Addresses

Primary practice location

800 Plaza Dr Ste 210
Rostraver Township, PA 15012-4019

Mailing address

800 Plaza Dr Ste 210
Rostraver Township, PA 15012-4019
Phone (724) 379-6850

Other names 1

  • Stephanie Otuwa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122004531 PA Practitioner - Family Practice 9436501764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mon-Vale Primary Care Practices IncGroup PAC ID 4880837772, 9 clinicians

Practice addresses (Care Compare)

800 Plaza Dr
Suite 210
Rostraver TWP, PA 15012-4019
Phone (724) 379-6850

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT221525PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mon-Vale Primary Care Practices Inc Family Medicine CurrentSince Nov 7, 2023 Accepting new patients
Mon-Vale Primary Care, Inc. Past Accepting new patients
Monongahela Valley Hospital, Inc. Family Medicine Past Accepting new patients

Locations

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

6108 Brownsville Road Ext
Ste 204
Finleyville, PA 15332
Phone (724) 782-0723

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

800 Plaza Dr
Rostraver Township, PA 15012
Phone (724) 379-1900

800 Plaza Dr
Ste 210
Rostraver Township, PA 15012
Phone (724) 379-1940

800 Plaza Dr
Ste 290
Rostraver Township, PA 15012
Phone (724) 379-6850

800 Plaza Dr
Ste 400
Rostraver Township, PA 15012
Phone (724) 379-5802

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1700415817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PLAZA DR STE 210",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150124019",
            "telephone_number": "724-379-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PLAZA DR STE 210",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150124019",
            "telephone_number": "724-379-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORIE",
        "first_name": "STEPHANIE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT221525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "OTUWA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rostraver Township, PA

Sources for this page

Verify at the official NPI Registry.