Uwayemwen Ogbonmwonkpa Aideyan, MD
Individual provider Active NPI Pediatric Radiology Physician · Jacksonville, FL
NPI 1295738425 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1295738425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Radiology Physician 2085P0229X
- License
- ME69757 (FL)
- Practice address
- 807 Children'S Way
Jacksonville, FL 32207-8426 - Phone
- (904) 390-3600
- Fax
- (904) 390-3592
- NPI assigned
- May 23, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of Hollywood, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/13023/brand/4/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | ME69757 | FL | Yes |
| Diagnostic Radiology Physician | 2085R0202X | ME69757 | FL |
Addresses
Primary practice location
807 Children'S Way
Jacksonville, FL 32207-8426
Mailing address
PO Box 5270
Jacksonville, FL 32247-5720
Phone (904) 288-5650
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300132744 | Other | FL | RAILROAD MEDICARE |
| 28338 | Other | FL | AVMED |
| 28338 | Other | FL | BLUE CROSS BLUE SHIELD |
| 379203000 | Medicaid | FL |
Other names
- Uwa Aideyan-Alexis
Other providers in Jacksonville, FL
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- Gabrielle Elizabeth Ahrens
- Zahid M Ahsan
- Ahsap Support Services LLC
- Aidaly Care Jacksonville LLC
- AIDS Healthcare Foundation
- James John Aiello
- Emani Aikens-Rollins
- Meghna Ailawadhi
- Sikander Ailawadhi
All providers in Jacksonville, FL · Pediatric Radiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.