Active NPI
Okolocha Medical Corp.
- Family Medicine Physician
- Gary, IN
National Provider Identifier
1902851330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01041856
- Legal business name
- OKOLOCHA MEDICAL CORP.
- Practice address
- 2054 Grant St
Gary, IN 46404-3060 - Phone
- (219) 949-7540
- Fax
- (219) 949-7545
- NPI assigned
- May 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Chike Okolocha, M.D.
- Title
- Physician
- Phone
- (219) 949-7540
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01041856 | IN | Primary |
Addresses
Primary practice location
2054 Grant St
Gary, IN 46404-3060
Mailing address
1314 Fitzgerald Dr
Munster, IN 46321-4204
Phone (219) 922-4802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000285585 | Other | IN | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Okolocha Medical Corp
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Gary, IN
- NPI 1588016752
-
- Family Medicine Physician
- East Chicago, IN
- NPI 1922053354
Locations
701 W Columbus Dr
East Chicago, IN 46312
Phone (219) 391-0014
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Gary, IN
- NPI 1629193321
-
- Family Nurse Practitioner
- Gary, IN
- NPI 1124396072
-
- Family Medicine Physician
- Merrillville, IN
- NPI 1154640902
-
- Family Nurse Practitioner
- Gary, IN
- NPI 1578763447
-
- Family Medicine Physician
- Homewood, IL
- NPI 1437101409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902851330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 FITZGERALD DR",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463214204",
"telephone_number": "219-922-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2054 GRANT ST",
"city": "GARY",
"state": "IN",
"postal_code": "464043060",
"telephone_number": "219-949-7540",
"fax_number": "219-949-7545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OKOLOCHA MEDICAL CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OKOLOCHA",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "CHIKE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "219-949-7540",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IN",
"license": "01041856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000000285585",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.