McRichlands PLLC

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

ME105721 Issued in FL

Legal business name

MCRICHLANDS PLLC

Practice address

9580 N US Highway 301
Wildwood, FL 34785-1762

Phone

(352) 633-0703

Fax

(352) 399-2168

NPI assigned

Apr 2, 2012

Organization subpart

No

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

Authorized official

Name

Uzoma Kelechi Nwaubani, MDNPI 1679734453

Title

Physician Owner

Phone

(352) 633-0703

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Uzoma Kelechi Nwaubani, M.D

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Wildwood, FL
  • NPI 1679734453
  Medicare reassignment Care Compare group NPD Authorized official
• Ariadna Elmudesi, FNP, APRN

  • Family Nurse Practitioner
  • Wildwoof, FL
  • NPI 1245116847
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633219200000",
    "number": "1780940973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9580 N US HIGHWAY 301",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "34785",
            "telephone_number": "352-633-0703",
            "fax_number": "352-399-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 N US HIGHWAY 301",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347851762",
            "telephone_number": "352-633-0703",
            "fax_number": "352-399-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCRICHLANDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2021-10-03",
        "certification_date": "2021-10-03",
        "status": "A",
        "authorized_official_last_name": "NWAUBANI",
        "authorized_official_first_name": "UZOMA",
        "authorized_official_middle_name": "KELECHI",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "352-633-0703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME105721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "149R7",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002182700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GJ186A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Wildwood, FL
• Providers in Wildwood, FL by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.