MEDICARE: MRS. IFEOMA ROSELINE OKEKE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	01047487A	IN
2	207RH0003X	Hematology & Oncology Physician	35-088183	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	9338635	OTHER	OH	PARTNERS PHYSICIAN GROUP MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1841239274	OTHER	OH	PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134168578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. IFEOMA ROSELINE OKEKE M.D.

Provider Business Mailing Address
First Line	:	2210 GREEN VALLEY ROAD
Second Line	:	FLOYD MEMORIAL CANCER CENTER OF INDIANA
City	:	NEW ALBANY
State	:	IN
Zip	:	47150
Country	:	US
Telephone Number	:	812-945-4000
Fax Number	:	812-941-5714

Provider Business Practice Location Address
First Line	:	2210 GREEN VALLEY ROAD
Second Line	:	FLOYD MEMORIAL CANCER CENTER OF INDIANA
City	:	NEW ALBANY
State	:	IN
Zip	:	47150
Country	:	US
Telephone Number	:	812-945-4000
Fax Number	:	812-941-5714

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	12/07/2020

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