David O Ulery, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

18981 Issued in WI

Practice address

915 Summit Ave
Oconomowoc, WI 53066-3994

Phone

(262) 569-2300

Fax

(262) 569-2266

NPI assigned

Aug 24, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336256445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "414-647-6326",
            "fax_number": "414-671-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663994",
            "telephone_number": "262-569-2300",
            "fax_number": "262-569-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULERY",
        "first_name": "DAVID",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "18981",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "18981",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30117200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime M Troedel
• Kim Tula, CSW
• Steven James Turchan, M.D.
• Elizabeth Turner, LCSW
• Madison Uebelacker
• Erik J Ulland, M.D.
• Brenda Marie Vanmersbergen, AGPCNP
• Breanna Vaughn, APSW
• Rama Sunitha Vejju, PHARM.D.
• Kristen Ann Vento, D.O.

• Pediatrics Physician in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.