Ucm Digital Ipa, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

UCM DIGITAL IPA, INC.

Practice address

216 River St Ste 3
Troy, NY 12180-3848

Phone

(844) 484-7362

NPI assigned

Dec 13, 2022

Last updated

Dec 13, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

UCM DIGITAL HEALTH, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Bibighaus, MD

Title

Cmo

Phone

(844) 484-7362

Specialties & licenses 1

Addresses

Part of

Ucm Digital Ipa Inc

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1003527821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 RIVER ST STE 3",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 RIVER ST STE 3",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803848",
            "telephone_number": "844-484-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCM DIGITAL IPA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UCM DIGITAL HEALTH, INC.",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "BIBIGHAUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "844-484-7362",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Turner
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• Canaan Burke Tyner, DDS
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• David Alan Ullman, M.D.
• Unity House of Troy Inc
• Unity House of Troy, Inc.
• Upstate Empire Pathology PLLC

• General Practice Physician in Troy, NY
• Providers in Troy, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.