Michael L Wodka, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003161-1 Issued in NY

Practice address

30 Industrial Dr
Middletown, NY 10941-1662

Phone

(845) 692-3338

Fax

(845) 692-5549

NPI assigned

Jan 19, 2006

Last updated

Nov 5, 2007By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Middletown Medical PC

  • Emergency Medicine Physician
  • Middletown, NY
  • NPI 1902855828
  Medicare reassignment NPD
• Michael L Wodka D.P.M. PC

  • Primary Podiatric Medicine Podiatrist
  • Middletown, NY
  • NPI 1891972089
  Authorized official Same address or phone
• Middletown Medical PC

  • Cardiac Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1174201529
  NPD

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1538149208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 INDUSTRIAL DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411662",
            "telephone_number": "845-692-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 INDUSTRIAL DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411662",
            "telephone_number": "845-692-3338",
            "fax_number": "845-692-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WODKA",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003161-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00554738",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Wisdom, DDS
• Constance Wit, RN
• Kate G Witt, LCSW
• Kathryn Wittenberg, PHARM.D.
• Melissa Lynn Wixon, FNP-BC
• Catherine Aimee Wolons, RN
• Nelson Wong, MD
• Nontapoth X Wongkittiarkorn
• Shanna Leigh Wood, PA-C
• Scott M Woolf, D.O.

• Podiatrist in Middletown, NY
• Providers in Middletown, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.