Harold Pennington Ducloux, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

51478-020 Issued in WI

Practice address

10400 W North Avve Suite 490
Amg Mid-Market Urgent Care Group
Wauwatosa, WI 53226-5701

Phone

(414) 479-3758

Fax

(414) 479-7254

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Memorial Health Urgentone, Inc.

  dba UrgentOne Godley Station

  • Emergency Medicine Physician
  • Pooler, GA
  • NPI 1083782189

  Family Medicine

  NPD (past)
• Memorial Health Urgentone, Inc.

  dba UrgentOne Savannah Mall

  • Emergency Medicine Physician
  • Savannah, GA
  • NPI 1801818844

  Family Medicine

  NPD (past)
• Morehouse Healthcare, Inc.

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1801832324
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1154367811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 W NORTH AVVE SUITE 490",
            "address_2": "AMG MID-MARKET URGENT CARE GROUP",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532265701",
            "telephone_number": "414-479-3758",
            "fax_number": "414-479-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 W NORTH AVVE SUITE 490",
            "address_2": "AMG MID-MARKET URGENT CARE GROUP",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532265701",
            "telephone_number": "414-479-3758",
            "fax_number": "414-479-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCLOUX",
        "first_name": "HAROLD",
        "middle_name": "PENNINGTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "044708",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "51478-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Dries, PHD
• Chris Ann Drosdick, PC, CSAC, ATR
• Karen Elaine Drzewiecki, OTR
• Christopher Dubois, FNP
• David Roger Dubord, PSY.D.
• Victoria Ducoffe
• Kristen L Dudas, PA-C
• Henry Joseph Duffrin, MD
• Stacy Lynn Duke
• Nikola Dukic

• Family Medicine Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.