DR. PAMELA WILSON HUMES DPM NPI 1104925965

NPI Information

  • NPI: 1104925965
  • Provider Name: DR. PAMELA WILSON HUMES, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3915 W CAPITOL DR
    MILWAUKEE, WI
    ZIP 53216
  • Phone: (414) 444-9242

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NPI Details

DR. Pamela Wilson Humes, DPM is a podiatrist in Milwaukee, WI with 24 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Pamela Wilson Humes, DPM NPI is 1104925965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2001

The provider's business location address is:

3915 W CAPITOL DR
MILWAUKEE, WI
ZIP 53216-528
Phone: (414) 444-9242
Fax: (414) 444-9252

The NPI 1104925965 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).

The enumeration date for this NPI number is 9/21/2006 and was last updated on 6/9/2015.

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
1213E00000XPodiatrist890-025WISCONSINYes

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
1002085325MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
243237100MEDICAIDWISCONSIN
3V01704MEDICARE UPIN
4P00148211OTHERWISCONSINRAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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