Organization Active NPI

Okolocha Medical Pain & Weight Clinic

  • Family Medicine Physician
  • East Chicago, IN
National Provider Identifier
1922053354
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01044052 Issued in IN
Legal business name
OKOLOCHA MEDICAL PAIN & WEIGHT CLINIC
Practice address
3847 Euclid Ave
East Chicago, IN 46312-2332
Phone
(219) 398-0700
Fax
(219) 398-4914
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ambrosio Aranas Dosado, M.D.NPI 1588780779
Title
Physician
Phone
(219) 398-0700

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01044052 IN Primary

Addresses

Primary practice location

3847 Euclid Ave
East Chicago, IN 46312-2332

Mailing address

3048 Lakeside Dr
Highland, IN 46322-3470
Phone (219) 922-1581

Other identifiers 1

IdentifierTypeStateIssuer
000000296072OtherINBC/BS

National Provider Directory

National Provider Directory
Tax ID family
Okolocha Medical Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922053354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 LAKESIDE DR",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223470",
            "telephone_number": "219-922-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 EUCLID AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463122332",
            "telephone_number": "219-398-0700",
            "fax_number": "219-398-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKOLOCHA MEDICAL PAIN & WEIGHT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOSADO",
        "authorized_official_first_name": "AMBROSIO",
        "authorized_official_middle_name": "ARANAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "219-398-0700",
        "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": "01044052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000296072",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Chicago, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.