DR. PAUL RYAN WUCKA (NPI# 1215243027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215243027 |
| Entity Type | Individual |
| Full Name | DR. PAUL RYAN WUCKA |
| Credential | D.O. |
| Practice Address |
2000 Ogden Ave Aurora IL 60504-7222 |
| Practice Telephone | 6309650996 |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2017-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | SL0829 | NV | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036137508 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 125058721 | IL | Student, Health Care |
| Street Address |
2000 OGDEN AVE |
| City | AURORA |
| State | IL |
| Zip Code | 60504-7222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533820 | Brian R Pope | Emergency Medicine | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2005-07-26 |
| 1992350029 | Synergy Anesthesia LLC | Anesthesiology | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2019-08-06 |
| 1669031597 | Jennifer Robinson | Nurse Practitioner | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2019-06-13 |
| 1548826126 | Katherine Vankhanh Nguyen | Pharmacist | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2019-05-19 |
| 1376106674 | Jasmine Patel | Physician Assistant | 2000 Ogden Ave, Aurora, IL 60504-5893 | 2019-04-22 |
| 1528530771 | Saju Abraham, M.d., LLC | Internal Medicine | 2000 Ogden Ave, Aurora, IL 60504-5893 | 2018-12-28 |
| 1336624196 | Nicole Bowser | Nurse Practitioner | 2000 Ogden Ave, Aurora, IL 60504-5893 | 2018-09-27 |
| 1306344585 | Meredith P Davis | Nurse Anesthetist, Certified Registered | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2018-01-23 |
| 1508389628 | Aurora Emergency Physicians, LLC | Emergency Medicine | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2017-07-20 |
| 1649708942 | Ramya Kollu | Emergency Medicine | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2017-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376906982 | Neelam Jay Mistry | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2016-03-31 |
| 1851754667 | Meghan Dolan Althoff | Internal Medicine | 13001 E 17th Pl, University of Colorado School of Medicine Gme, Aurora, CO 80045-2570 | 2016-03-30 |
| 1831501196 | Jennifer Taylor | Internal Medicine | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2014-05-21 |
| 1568704211 | Joshua Brian Smith | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2013-03-20 |
| 1528352499 | Arun Kannappan | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045 | 2011-06-08 |
| 1316237381 | Melissa Lygizos New | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2011-04-12 |
| 1598080434 | Jason Navid Mansoori | Internal Medicine | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2010-04-04 |
| 1942466198 | Sunad Rangarajan | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045 | 2008-08-06 |
| 1336315985 | Alice Lee Gray | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2008-05-05 |
| 1801018221 | Luis Cava Prado | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2007-05-03 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.