Fredrick Oola Odoo Wani, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36575 Issued in IA

Practice address

Maplewood Blvd
Apt #3
Omaha, NE 68134

Phone

(402) 968-9937

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Fredrick Oola Odoo Wani Other name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Family Medicine, VA

  Medicare reassignment NPD
• Centra Medical Group Southside, LLC

  • Family Medicine Physician
  • Farmville, VA
  • NPI 1841479565

  Family Medicine

  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225069461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 MAPLEWOOD BLVD",
            "address_2": "APT #3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345442",
            "telephone_number": "402-968-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAPLEWOOD BLVD",
            "address_2": "APT #3",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68134",
            "telephone_number": "402-968-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOO WANI",
        "first_name": "FREDRICK",
        "middle_name": "OOLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "36575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDRICK",
            "last_name": "ODOO WANI",
            "middle_name": "OOLA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lora Odell
• Tara L Odell
• Odells Loving in Home Care
• Wycliffe Okeyo Odhiambo, PHARM.D
• Atsoupi Pauline Odjo
• Francis Denman Odorisio, D.D.S.
• Danielle Odowd
• Jessica Ann Odvody, MS, LMHP
• Odyssey Healthcare Operating a LP
• Lindsay Oehlerking, PHARMD

• All providers in Omaha, NE
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.