START YOUR OKIPA MEMBERSHIP Membership Type IndividualGroupCorporate Provider Type / Specialty MDDORNDDSPANPCRNPAPRNFND-POther First Name Middle Initial Last Name Primary Specialty Allergy & ImmunologyAnesthesiologyCardiologyClinical ResearchDermatologyEar, Nose and ThroatEndocrinologyFamily MedicineGastroenterologyGeneral SurgeryGeriatricsIndependent Lab Draw StationInfusion ServicesInternal MedicineInterventional RadiologyNephrologyNeurological SurgeryNeurologyNutrional TherapyObstetrics & GynecologyOncologyOphthalmologyOrthopedicsOtolaryngologyPain ManagementPalliative Medicine and HospicePathologyPediatricsPhysical Medicine & RehabilitationPlastic SurgeryPsychiatryRadiologyRheumatologySleep MedicineUrologyWeight LossFND-POther Cell Phone Practice Phone Email Practice Name Address City State Zip Years in Practice 1–34–78–1212+ Practice Contact First Name Practice Contact Last Name Practice Contact Title Practice Contact Office Phone Practice Contact Cell Phone Practice Contact Email Communication Preference TextCellOffice PhoneEmailWebsite chatThrough Practice Contact Person Practice Pain Points (select all that apply) Insurance Reimbursement Insurance Participation Referrals Practice Growth Managing Overhead Expenses Contracts Practice Staffing Billing and Accounts Receivable Benefits Wealth Management Education Networking I agree to the Terms and Conditions of Membership. Submit & Go Pay Now
