NPIMap

Individual provider Active NPI

Levon Thomas O'Haodha, MD

  • Emergency Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1700905213
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
51869-20 Issued in WI
Practice address
1500 E Medical Center Dr
B1-380 TC
Ann Arbor, MI 48109-0999
Phone
(734) 763-7919
Fax
(734) 763-9298
NPI assigned
Mar 28, 2007
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 51869-20 WI Primary
Emergency Medicine Physician 207P00000X 51219 MN

Addresses

Primary practice location

1500 E Medical Center Dr
B1-380 TC
Ann Arbor, MI 48109-0999

Mailing address

8170 33Rd Ave S
Bloomington, MN 55425-4516

Other practice location 1

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600

Other practice location 2

405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000

Other practice location 3

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080820000749 WI Practitioner - Emergency Medicine 6901970185 Reassigns benefits to 6 organizations
I20081007000193 MN Practitioner - Emergency Medicine 6901970185 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51219MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amery Regional Medical Center, Inc. CurrentSince Aug 28, 2020 Accepting new patients
Regions Hospital CurrentSince Jul 1, 2014 Accepting new patients
Regions Hospital Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Westfields Hospital, Inc. CurrentSince Jan 12, 2019 Accepting new patients
Hudson Hospital, Inc. CurrentSince Aug 1, 2008 Accepting new patients
Lakeview Memorial Hospital Association Inc CurrentSince Aug 22, 2020 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 31, 2025 Accepting new patients
Hudson Hospital, Inc. CurrentSince Aug 1, 2008 Accepting new patients
Westfields Hospital, Inc CurrentSince Jan 12, 2019 Accepting new patients
Lakeview Memorial Hospital Association Inc. Emergency Medicine CurrentSince Aug 22, 2020 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Aug 28, 2020 Accepting new patients
Westfields Hospital, Inc. CurrentSince Jan 12, 2026 Accepting new patients

Locations

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lakeview HospitalStillwater, MN, CCN 240066 Hospital Corporate Director Apr 1, 2018
Westfields Hospital and ClinicNew Richmond, WI, CCN 521345 Hospital Corporate Director Apr 1, 2018
Westfields Hospital and ClinicNew Richmond, WI, CCN 52Z345 Hospital Corporate Director Apr 1, 2018
Amery Hospital & ClinicAmery, WI, CCN 52Z308 Hospital Corporate Director Apr 1, 2018
Amery Hospital & ClinicAmery, WI, CCN 521308 Hospital Corporate Director Apr 1, 2018
Amery Hospital & Clinic - Behavioral Health CenterAmery, WI, CCN 52M308 Hospital Corporate Director Apr 1, 2018
Hudson Hospital & ClinicsHudson, WI, CCN 52Z335 Hospital Corporate Director May 1, 2018
Hudson Hospital & ClinicHudson, WI, CCN 521335 Hospital Corporate Director May 1, 2018
Lakeview HomecareOak Park Heights, MN, CCN 248008 Home health agency Corporate Director Apr 1, 2018
Lakeview HospiceOak Park Heights, MN, CCN 241552 Hospice Corporate Director Apr 1, 2018
Amery Hospital & Clinic - Luck ClinicLuck, WI, CCN 528516 Rural health clinic Corporate Director Apr 1, 2018
Clear Lake ClinicClear Lake, WI, CCN 528562 Rural health clinic Corporate Director Apr 1, 2018
Amery Hospital & Clinic - Turtle Lake ClinicTurtle Lake, WI, CCN 528561 Rural health clinic Corporate Director Apr 1, 2018
Amery Hospital & ClinicAmery, WI, CCN 528621 Rural health clinic Corporate Director Apr 1, 2018

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1700905213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "B1-380 TC",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481090999",
            "telephone_number": "734-763-7919",
            "fax_number": "734-763-9298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540171449",
            "country_code": "US",
            "telephone_number": "715-243-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Stageline Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167848",
            "country_code": "US",
            "telephone_number": "715-531-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012502",
            "country_code": "US",
            "telephone_number": "651-254-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'HAODHA",
        "first_name": "LEVON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "51869-20",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "51219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.