EBELECHUKWU KENE OSIFO MD
Complete NPI Record 1578069035
Family Medicine in Manchester, PA
Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
Complete NPI Dataset
This page contains the complete raw NPPES record for Ebelechukwu Kene Osifo, MD (NPI 1578069035), an individual family medicine provider in Manchester, PA. All 32 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1578069035 Field 1/32
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/32
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: OSIFO Field 3/32
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: EBELECHUKWU Field 4/32
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: KENE Field 5/32
- The middle name of the provider, if the provider is an individual.
- Provider Credential Text: MD Field 6/32
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Other Last Name: OKAFOR Field 7/32
- Other last name by which the provider being identified is or has been known.
- Provider Other First Name: EBELECHUKWU Field 8/32
- Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider first name" if the provider is or has been known by a different last name only.
- Provider Other Middle Name: KENE Field 9/32
- Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider middle name" if the provider is or has been known by a different last name only.
- Provider Other Last Name Type Code: 1 Field 10/32
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 601 MEMORY LN Field 11/32
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: YORK Field 12/32
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: PA Field 13/32
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 174022231 Field 14/32
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 15/32
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 7178511405 Field 16/32
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 235 ROSEDALE DR Field 17/32
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: MANCHESTER Field 18/32
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: PA Field 19/32
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 173451022 Field 20/32
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 21/32
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7178125229 Field 22/32
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 7172667453 Field 23/32
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 26/32
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 207Q00000X Field 27/32
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: MD475469 Field 28/32
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: PA Field 29/32
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 30/32
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: Y Field 31/32
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 36
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
40 V Twin Dr Ste 204
Location 1/36Gettysburg, PA 17325-7878 · Phone (717) 339-2424
96 Sofia Dr Ste 208
Location 2/36Shrewsbury, PA 17361-5201 · Phone (717) 812-2400
2149 S Queen St
Location 3/36York, PA 17403-4845 · Phone (717) 356-4460
2250 E Market St
Location 4/36York, PA 17402-2857 · Phone (717) 851-1566
101 W Airport Rd
Location 5/36Lititz, PA 17543-9274 · Phone (717) 466-2445
717 Town Center Dr
Location 6/36York, PA 17408-4824 · Phone (717) 356-4240
605 S George St Ste 200
Location 7/36York, PA 17401-3161 · Phone (717) 851-2334
1401 Roosevelt Ave
Location 8/36York, PA 17404-2244 · Phone (717) 356-6250
1227 Baltimore St
Location 9/36Hanover, PA 17331-4406 · Phone (717) 812-5190
2060 Carlisle Rd
Location 10/36Aspers, PA 17304-9707 · Phone (717) 339-2585
264 Granite Run Dr
Location 11/36Lancaster, PA 17601-6804 · Phone (717) 721-8205
46 Walnut Bottom Rd Ste 200
Location 12/36Shippensburg, PA 17257-8219 · Phone (717) 532-4148
1135 Georgetown Rd Unit 201
Location 13/36Christiana, PA 17509-9543 · Phone (717) 466-2462
25 Monument Rd Ste 140
Location 14/36York, PA 17403-5057 · Phone (717) 461-7404
30 N 4th St # 2
Location 15/36Lebanon, PA 17046-5606 · Phone (717) 274-0474
720 Norman Dr
Location 16/36Lebanon, PA 17042-7481 · Phone (717) 639-3230
4131A Oregon Pike
Location 17/36Ephrata, PA 17522-9550 · Phone (717) 859-1123
300 W King St Ste C
Location 18/36Littlestown, PA 17340-1446 · Phone (717) 339-2390
105 4th St # 727
Location 19/36East Berlin, PA 17316-9638 · Phone (717) 812-4900
2 Keefer Dr
Location 20/36Mercersburg, PA 17236-1732 · Phone (717) 328-2119
3193 Cape Horn Rd
Location 21/36Red Lion, PA 17356-8810 · Phone (717) 812-5888
101 Fairview Cir
Location 22/36Lebanon, PA 17042-9581 · Phone (717) 279-7303
30 W Swartzville Rd
Location 23/36Reinholds, PA 17569-9641 · Phone (717) 484-4347
6 Perri Ave
Location 24/36Myerstown, PA 17067-3200 · Phone (717) 949-6581
354 Alexander Spring Rd Ste 3
Location 25/36Carlisle, PA 17015-7451 · Phone (717) 477-2764
601 E Main St
Location 26/36Waynesboro, PA 17268-2332 · Phone (717) 765-5085
4050 N George Street Ext
Location 27/36Manchester, PA 17345-9347 · Phone (717) 356-4370
13515 Wolfe Rd Ste C
Location 28/36New Freedom, PA 17349-9346 · Phone (717) 812-2501
10 Muddy Creek Forks Rd Ste 3
Location 29/36Brogue, PA 17309-9497 · Phone (717) 812-5020
455 S Washington St Ste 12
Location 30/36Gettysburg, PA 17325-2516 · Phone (717) 339-2875
100 Eisenhower Dr
Location 31/36Hanover, PA 17331-5241 · Phone (717) 646-4201
446 N Reading Rd
Location 32/36Ephrata, PA 17522-9802 · Phone (717) 738-5275
9 Nathan Ln
Location 33/36Annville, PA 17003-6500 · Phone (717) 639-3350
1790 Old Trail Rd
Location 34/36Etters, PA 17319-9652 · Phone (717) 938-6588
1575 Bannister St Ste 1
Location 35/36York, PA 17404-4946 · Phone (717) 812-2000
100 Frederick St Ste 101
Location 36/36Hanover, PA 17331-3518 · Phone (717) 851-7050
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