Ejub Carlos Hadzic, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

88-181 Issued in NM

Practice address

2428 W Pierce St
Carlsbad, NM 88220-3512

Phone

(575) 234-6200

Fax

(575) 234-6219

NPI assigned

May 16, 2006

Last updated

Feb 19, 2010By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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

• Carlsbad Regional Oscology Center

  • Radiation Oncology Physician
  • Carlsbad, NM
  • NPI 1881884195
  NPD (past)
• Otero Community Cancer Center

  • Radiation Oncology Clinic/Center
  • Alamogordo, NM
  • NPI 1689788911
  NPD (past)
• Roswell Clinic Corp

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1649267618
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1164474797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W BOUTZ RD",
            "address_2": "BLDG 1",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053259",
            "telephone_number": "575-532-7000",
            "fax_number": "575-532-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203512",
            "telephone_number": "575-234-6200",
            "fax_number": "575-234-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADZIC",
        "first_name": "EJUB",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "88-181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36225339",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Anthony Grossman, MPT
• Cassandra Groves, CRNA
• Tandeka Hiya Guilderson, LCSW
• Sara M Gutierrez, PMSW
• Jesse W. Haas
• Charlie Hamilton, MA, ATC, LAT
• Debra J Hampton
• Annie Renee Hanway, LBSW, MSW
• Bryan Hardee
• Gina Hardin

• Specialist in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.