MEDICARE: ENID A OKOKON 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	208000000X	Pediatrics Physician	28040	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	K400147269	OTHER	WI	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679569289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ENID A OKOKON M.D.

Provider Business Mailing Address
First Line	:	2555 N MARTIN LUTHER KING DR
Second Line	:	MILWAUKEE HEALTH SERVICES, INC.
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-2709
Country	:	US
Telephone Number	:	414-372-8080
Fax Number	:	414-562-8078

Provider Business Practice Location Address
First Line	:	2555 N MARTIN LUTHER KING DR
Second Line	:	MILWAUKEE HEALTH SERVICES, INC.
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-2709
Country	:	US
Telephone Number	:	414-372-8080
Fax Number	:	414-562-8078

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	09/07/2016

Similar Medicare Providers

1205832045 — MR. MARK P BEHAR PA-C
Practice Location Address:

2555 N MARTIN LUTHER KING DRIVE
MILWAUKEE, WI
53212-2709

Practice Phone: 414-372-8080
Practice Fax: 414-372-2309

1528053865 — DR. KIMBERLIE A WARD-COOPER M.D.
Practice Location Address:

2555 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI
53212-2709

Practice Phone: 414-372-8080
Practice Fax: 414-372-1893

1235126632 — CYNTHIA A FLOORE MD
Practice Location Address:

2555 N MARTIN LUTHER KING DR , MILWAUKEE HEALTH SERVICES, INC.
MILWAUKEE, WI
53212-2709

Practice Phone: 414-372-8080
Practice Fax: 414-372-7420

1255318564 — DR. MIRIAN BOYD ORGAN MD
Practice Location Address:

2555 N MARTIN LUTHER KING DR
MILWAUKEE, WI
53212-2709

Practice Phone: 414-372-8080
Practice Fax: 414-562-8447

1669445037 — DR. VALERIA D HAIRSTON DPM
Practice Location Address:

2555 N DR MARTIN LUTHER KING JR DR
MILWAUKEE, WI
53212-2709

Practice Phone: 414-372-8080
Practice Fax: 414-562-8084

1467409888 — DIANE CARPENTER MD
Practice Location Address:

2555 N MLK DR
MILWAUKEE, WI
53212-2709

Practice Phone: 414-372-8080
Practice Fax:

Directions to “ ENID A OKOKON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.