Uchenna Uzoukwu, MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD059079L Issued in PA

Legal business name

UCHENNA UZOUKWU, MD LLC

Practice address

121 Progress Ave FL 2
Pottsville, PA 17901-2968

Phone

(570) 621-5015

Fax

(570) 621-5858

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Uchenna Uzoukwu, M.D.

Title

Physician

Phone

(570) 621-5015

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1811032253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179010561",
            "telephone_number": "570-621-5015",
            "fax_number": "570-621-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PROGRESS AVE FL 2",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012968",
            "telephone_number": "570-621-5015",
            "fax_number": "570-621-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCHENNA UZOUKWU, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "UZOUKWU",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "570-621-5015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD059079L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015888550001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Pottsville, PA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.