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Active NPI 1700105012 Individual Practitioner Male Practitioner

Eric Ochieng Okoth

Licensed Practical Nurse • Portage, MI

Professional Overview & Biography Verified Profile Summary

Eric Okoth is a registered healthcare professional specializing in Licensed Practical Nurse in Portage, MI. Practice services are available at 1916 VICKERY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1916 Vickery Rd

Portage, MI 490027610

Telephone 4252898514

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Portage, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Portage, MI (4550 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703103818

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2010

Registered at 1916 VICKERY RD, PORTAGE, MI 490027610 (Tel: 4252898514)

📍
Updated Business Mailing Address May 26, 2010

Registered at 1916 VICKERY RD, PORTAGE, MI 490027610 (Tel: 4252898514)

👤
Provider Name / Credentials Updated May 26, 2010

Recorded as ERIC OKOTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2010

Licensed Practical Nurse (License #4703103818 in MI)

🟢
Initial NPI Registration & Enumeration May 26, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700105012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2010
Last Update: May 26, 2010
Sole Proprietor: Yes

Mailing Address

1916 Vickery Rd

Portage, MI 490027610

Phone: 4252898514

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.