Individual provider Active NPI

Mfon Nse Udo, MD

  • Cytopathology Physician
  • Tampa, FL
National Provider Identifier
1356500516
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
ME127051 Issued in FL
Practice address
5426 Beaumont Center Blvd Ste 350
Tampa, FL 33634
Phone
(813) 286-0033
Fax
(813) 282-1806
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 266090 NC
Cytopathology Physician 207ZC0500X ME127051 FL Primary

Addresses

Primary practice location

5426 Beaumont Center Blvd Ste 350
Tampa, FL 33634

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0333

Other practice location 1

5002 W Lemon St
Tampa, FL 33609
Phone (813) 286-0033

Other practice location 2

200 Perimeter Park Dr Ste C
Morrisville, NC 27560-9714
Phone (919) 334-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160229000252 FL Practitioner - PathologyPractitioner - Other (Physician) 9537388921 Reassigns benefits to 2 organizations
I20200827002168 NC Practitioner - Pathology 9537388921 Reassigns benefits to 1 organization
I20210614001093 SC Practitioner - Pathology 9537388921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

5426 Beaumont Ctr Blvd
Suite 350
Tampa, FL 33634-5235
Phone (813) 286-0033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC CurrentSince Apr 1, 2016 Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince Jul 11, 2018 Accepting new patients
Uwh of the Carolinas, PLLC CurrentSince Oct 5, 2020 Accepting new patients
Unified Women's Healthcare of Texas PLLC PastSince Jul 25, 2021 Accepting new patients

Locations

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

5002 W Lemon St
Tampa, FL 33609

5426 Beaumont Center Blvd
Ste 350
Tampa, FL 33634

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

200 Perimeter Park Dr
Ste C
Morrisville, NC 27560
Phone (206) 895-4292

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

1027 Physicians Dr
Ste 110
Charleston, SC 29414
Phone (843) 740-6700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1356500516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0333",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 BEAUMONT CENTER BLVD STE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33634",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5002 W Lemon St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33609",
            "country_code": "US",
            "telephone_number": "813-286-0033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Perimeter Park Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275609714",
            "country_code": "US",
            "telephone_number": "919-334-0123",
            "fax_number": "919-334-0152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDO",
        "first_name": "MFON",
        "middle_name": "NSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NC",
            "license": "266090",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "FL",
            "license": "ME127051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.