Cecilia T. Urquico, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD435122 Issued in PA

Practice address

2501 W 12TH St
Suite 1
Erie, PA 16505-4527

Phone

(814) 806-1144

Fax

(814) 833-0659

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: cecilia.urquico.1@24114.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Service Professionals of NJ LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lyndhurst, NJ
  • NPI 1972044923
  Medicare reassignment
• Erie Physicians Network PC

  • Multi-Specialty Clinic/Center
  • Erie, PA
  • NPI 1902844574
  NPD (past)
• Erie Physicians Network, PC

  • Multi-Specialty Clinic/Center
  • Erie, PA
  • NPI 1215080908
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1013966548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 644850",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152644850",
            "telephone_number": "412-937-8887",
            "fax_number": "412-937-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 12TH ST",
            "address_2": "SUITE 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054527",
            "telephone_number": "814-806-1144",
            "fax_number": "814-833-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URQUICO",
        "first_name": "CECILIA",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD435122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01058226",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "002060951",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026730840001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upmc Home Healthcare of Western PA
• Upmc Home Healthcare of Western PA
• Teresa A. Upton, PH.D.
• David T. Urban, LCSW
• Richard Mark Urbanski, RPH
• Usv Optical Inc.
• Usv Optical Inc.
• Charissa Uveges, LPC
• Laina Jillian Uzarski
• Jawad Vaid, MB BCH BAO

• Family Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.