NPI Details
Ryan Puccia, MD is an otolaryngology in Wauwatosa, WI with 8 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Ryan Puccia, MD NPI is 1104357425. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017
The provider's business location address is:
1155 N MAYFAIR RD DEPT OF
WAUWATOSA, WI
ZIP 53226-462
Phone: (414) 955-5990
Fax: (414) 955-6282
The NPI 1104357425 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 3/27/2017 and was last updated on 9/1/2023.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207YS0123X | Otolaryngology | Facial Plastic Surgery | 70160 | WISCONSIN | No |
| 2 | 207Y00000X | Otolaryngology | | 70160 | WISCONSIN | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1104357425 | MEDICAID | WISCONSIN | |
