Obi Okoli LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

OBI OKOLI LLC

Practice address

2801 E. Missouri Ave
Suite 12
Las Cruces, NM 88011-5061

Phone

(575) 522-6900

Fax

(575) 522-8891

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Obiefuna C Okoli, M.D.NPI 1457560492

Title

Ceo

Phone

(575) 522-6900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 2

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

• Obiefuna Chidozie Okoli, M.D

  • Infectious Disease Physician
  • Las Cruces, NM
  • NPI 1457560492
  Medicare reassignment NPD Authorized official
• Elizabeth Reyes

  • Adult Health Nurse Practitioner
  • Las Cruces, NM
  • NPI 1306603121
  Medicare reassignment

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1851639330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 E. MISSOURI AVE",
            "address_2": "SUITE 12",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115061",
            "telephone_number": "575-522-6900",
            "fax_number": "575-522-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E. MISSOURI AVE",
            "address_2": "SUITE 12",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115061",
            "telephone_number": "575-522-6900",
            "fax_number": "575-522-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBI OKOLI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "OKOLI",
        "authorized_official_first_name": "OBIEFUNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-522-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micjhael Patrick O'Malley, LADAC
• Caitlin O'Neill
• Michael Oaks, LMHC
• Sherilyn Marie Oberlin, LLPC
• OBGYN Consultants LLP
• Chinyelu Chimezie Obi, LCSW
• Alyssya Obregon, MA., CCC-SLP
• Deborah Ann Ocallaghan, LISW
• Lesly Ocana
• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)

• Medical Specialty Clinic/Center in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Medical Specialty Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.