Organization Active NPI

Maria Regina Obstetrics and Gynecology LLC

  • Obstetrics & Gynecology Physician
  • El Dorado, KS
National Provider Identifier
1750835146
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0539129 Issued in KS
Legal business name
MARIA REGINA OBSTETRICS AND GYNECOLOGY LLC
Practice address
700 W Central Ave
Suite 412
El Dorado, KS 67042-2184
Phone
(316) 320-0501
Fax
(316) 321-0503
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Mrs. Chinwe A Okonkwo, D.O.NPI 1326304833
Title
Owner
Phone
(316) 320-0501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0539129 KS Primary

Addresses

Primary practice location

700 W Central Ave
Suite 412
El Dorado, KS 67042-2184

Mailing address

700 W Central Ave
Suite 412
El Dorado, KS 67042-2184
Phone (316) 320-0501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160916000793 KS Part B Supplier - Clinic/Group Practice 0446547533 Receives reassigned benefits from 1 practitioner
Practice locations: Eureka, KS; El Dorado, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1750835146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE",
            "address_2": "SUITE 412",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422184",
            "telephone_number": "316-320-0501",
            "fax_number": "316-321-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE",
            "address_2": "SUITE 412",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422184",
            "telephone_number": "316-320-0501",
            "fax_number": "316-321-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA REGINA OBSTETRICS AND GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "OKONKWO",
        "authorized_official_first_name": "CHINWE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-320-0501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "0539129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.