NPIMap

Organization Active NPI

Chukwuka C Okafor, MD, Mba, PA

Doing business as Spine Institiure of Central Florida

  • Orthopaedic Surgery of the Spine Physician
  • Lakeland, FL
National Provider Identifier
1962714071
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME104463 Issued in FL
Legal business name
CHUKWUKA C OKAFOR, MD, MBA, PA
Doing business as
Spine Institiure of Central Florida
Practice address
5050 S Florida Ave
Lakeland, FL 33813-2501
Phone
(863) 688-3030
Fax
(863) 688-4430
NPI assigned
Jul 6, 2010
Last updated
Feb 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Dr. Chukwuka C Okafor, MDNPI 1699979534
Title
Owner
Phone
(863) 688-3030

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
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X ME104463 FL Primary

Addresses

Primary practice location

5050 S Florida Ave
Lakeland, FL 33813-2501

Mailing address

5050 S Florida Ave
Lakeland, FL 33813-2501
Phone (863) 688-3030

Other names 1

  • Spine Institiure of Central Florida Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101011000669 FL Part B Supplier - Clinic/Group Practice 0840482733 Receives reassigned benefits from 10 practitioners
Practice locations: Lakeland, FL
O20161230001738 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0840482733 Practice locations: Lakeland, FL

National Provider Directory

National Provider Directory

Locations

5050 S Florida Ave
Ste B
Lakeland, FL 33813

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1962714071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132501",
            "telephone_number": "863-688-3030",
            "fax_number": "863-688-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132501",
            "telephone_number": "863-688-3030",
            "fax_number": "863-688-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUKWUKA C OKAFOR, MD, MBA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "CHUKWUKA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-688-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME104463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Institiure of Central Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.