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Uchenna Loretta Ozor

Internal Medicine

Allopathic & Osteopathic Physicians

200 E Chestnut St Bldg Suite303, Louisville, KY 40202-1831

PECOS Enrollment

This provider is enrolled in PECOS as UCHENNA OZOR.

Based on the most recent information from CMS, provider Uchenna Loretta Ozor is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1003123084
Provider Type
Individual
Full Name
Ozor, Uchenna Loretta
Title
Dr.
Credential
M.D

Gender
Female
Sole Proprietor
No
Enumeration Date
9/11/2010
Last Updated
2/27/2023

Contact Information

Practice Location

200 E Chestnut St Bldg Suite303, Louisville, KY 40202-1831

(502) 629-5552

(502) 629-3132

Mailing Location

PO Box 776351, Chicago, IL 60677-6347

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 57.017385 Ohio

Provider Identifiers

ID	Description	Issuer
ID 7100332010	Description Medicaid	Issuer Unlisted Kentucky
ID K401390	Description Other	Issuer MEDICARE Kentucky
ID 201227590	Description Medicaid	Issuer Unlisted Indiana

Uchenna Loretta Ozor

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Gerlach, Dylan Nathanael

Hasan, Rafi A

Dunlavy, Bradley

Staley, Stella R.

Nayar, Tushar

Johnston, Thomas William

Beal, John Wesley

Chaudhary, Sirmad Bashir

Medical Center Internists, Psc

Skinner, Aaron Neal