Maxwell Jackson Uschuk, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4351047596 Issued in MI

Practice address

Munson Family Practice Center
1400 Medical Campus Drive
Traverse City, MI 49684

Phone

(231) 935-8012

Fax

(231) 935-8098

NPI assigned

May 20, 2021

Last updated

Jun 3, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Family Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Wetzel County Hospital IncGroup PAC ID 4284065400, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wetzel County Hospital, Inc.

  dba Wetzel County Hospital Physicians

  • Family Medicine Physician
  • New Martinsville, WV
  • NPI 1518590033
  Medicare reassignment Care Compare group NPD
• Wheeling Hospital Inc

  • Family Medicine Physician
  • Wheeling, WV
  • NPI 1548923923
  Medicare reassignment Care Compare group NPD
• Braxton County Memorial Hospital

  • Critical Access Hospital
  • Gassaway, WV
  • NPI 1356304547
  Medicare reassignment NPD
• Reynolds Memorial Hospital, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Glen Dale, WV
  • NPI 1518068014
  Medicare reassignment NPD
• Braxton County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Gassaway, WV
  • NPI 1861580334
  NPD
• Wetzel County Hospital, Inc.

  dba Pine Grove Health Clinic

  • Rural Health Clinic/Center
  • Pine Grove, WV
  • NPI 1245846765
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wetzel County Hospital, Inc.

  dba Wetzel County Hospital

  • Rural Acute Care Hospital
  • New Martinsville, WV
  • NPI 1376175240
  Care Compare affiliation

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1265007512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MUNSON FAMILY PRACTICE CENTER",
            "address_2": "1400 MEDICAL CAMPUS DRIVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-935-8012",
            "fax_number": "231-935-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUNSON FAMILY PRACTICE CENTER",
            "address_2": "1400 MEDICAL CAMPUS DRIVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-935-8012",
            "fax_number": "231-935-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USCHUK",
        "first_name": "MAXWELL",
        "middle_name": "JACKSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351047596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Matthew Urbonas, D.O.
• Urgent Care of Traverse City PLLC (Walk In Clinic of Traverse City)
• Uscg Airsta Traverse City Clinic
• Uscg Medical Center
• Uscg Traverse City Pharmacy
• V Dermatology
• Susan Valensky, M.A., CF-SLP
• Jeffrey M Valice, DO
• Kayla Van Acker, DPT
• Madison Van Hee

• Family Medicine Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.