Individual provider · NPI-1

Fidelis Ajobome Okotie, MD

Internal Medicine · Port Arthur, TX

NPI number1376856039

StatusActive

Last updated in NPPESSep 1, 2026

Details

NPI: 1376856039
Entity type: Individual (NPI-1)
Name: Fidelis Ajobome Okotie
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jul 22, 2010
Certification date: Sep 1, 2026
Last updated: Sep 1, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	N8962	TX	Yes
207R00000X	Internal Medicine	38814	SC
208M00000X	Hospitalist	2015-00495	NC
207R00000X	Internal Medicine	2015-00495	NC
208M00000X	Hospitalist	N8962	TX
207R00000X	Internal Medicine	MD.207776	LA
208M00000X	Hospitalist	0434428	KS
208M00000X	Hospitalist	MD.207776	LA
207R00000X	Internal Medicine	70415	WI

Practice location

2555 Jimmy Johnson Boulevard
Port Arthur, TX 77640-2007

Phone 409-853-5086 · Fax 409-853-5084

Mailing address

Po Box 743070
Atlanta, GA 30374-3070

Phone 864-560-4304 · Fax 864-560-4413

Other practice locations

606 Black River Rd
Georgetown, SC 29440-3304

Phone 843-527-7000 · Fax 843-520-8403

101 E Wood St Ste 401
Spartanburg, SC 29303-3040

Phone 864-560-6654 · Fax 864-560-7353

4070 Highway 17
Murrells Inlet, SC 29576-5033

Phone 843-652-1000 · Fax 843-520-8403

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375

Phone 225-765-5864

7777 Hennessy Blvd Ste 701
Baton Rouge, LA 70808-4370

Phone 225-765-5864 · Fax 225-765-2013

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