Organization Active NPI

Michael R Ursic MD PC

  • Ophthalmology Physician
  • Tuscaloosa, AL
National Provider Identifier
1114902194
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9641 Issued in AL
Legal business name
MICHAEL R URSIC MD PC
Practice address
1418 McFarland Blvd
Ste 100
Tuscaloosa, AL 35406-2286
Phone
(205) 752-5551
NPI assigned
Dec 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Dr. Michael R Ursic, MD
Title
President Owner
Phone
(205) 752-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 9641 AL Primary

Addresses

Primary practice location

1418 McFarland Blvd
Ste 100
Tuscaloosa, AL 35406-2286

Mailing address

1418 McFarland Blvd
Ste 100
Tuscaloosa, AL 35406-2286
Phone (205) 752-5551

Other identifiers 1

IdentifierTypeStateIssuer
529102460MedicaidAL

Other names 1

  • Ursic-Ashford Institute Doing business as

National Provider Directory

National Provider Directory

Locations

1418 McFarland Blvd N
Ste 100
Tuscaloosa, AL 35406
Phone (205) 752-5551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1114902194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 MCFARLAND BLVD",
            "address_2": "STE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062286",
            "telephone_number": "205-752-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 MCFARLAND BLVD",
            "address_2": "STE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062286",
            "telephone_number": "205-752-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R URSIC MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "URSIC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "205-752-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "9641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529102460",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ursic-Ashford Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.