Paul Uzodinma, D.O.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Medical College of Wisconsin Affiliated Hospitals, Inc.
8701 Watertown Plank Road
Milwaukee, WI 53226-4801

Phone

(414) 955-4582

NPI assigned

Apr 26, 2017

Reactivated

Jul 19, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Doctor of Osteopathy

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1922533108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS, INC.",
            "address_2": "8701 WATERTOWN PLANK ROAD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264801",
            "telephone_number": "414-955-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS, INC.",
            "address_2": "8701 WATERTOWN PLANK ROAD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264801",
            "telephone_number": "414-955-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZODINMA",
        "first_name": "PAUL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2022-11-01",
        "certification_date": "2022-09-19",
        "deactivation_date": "2022-01-10",
        "reactivation_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenace Mary Uttke, MS
• Stephen Ndukwe Utulor, MD
• Kathleen W Uy, MD
• Mary-Kate Dodge Uy, APNP
• Denise S Uyar, MD
• Jorge T Uzquiano, MD
• Rosemary Edea Uzzi, 132809-31
• V E Carter Development Group, Inc
• V G Lubsey, MD, SC
• V Medical Clinic, LLC

• Student in an Organized Health Care Education/Training Program in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Student in an Organized Health Care Education/Training Program in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.