Organization Active NPI

Ernest Uzicanin MD, PC

  • Family Medicine Physician
  • Hagerstown, MD
National Provider Identifier
1285075069
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0040622 Issued in MD
Legal business name
ERNEST UZICANIN MD, PC
Practice address
19236 Meadow View Dr
Hagerstown, MD 21742-2924
Phone
(301) 745-3695
Fax
(301) 745-4572
NPI assigned
Jul 9, 2013
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Dr. Ernest Uzicanin, M.D.NPI 1992728380
Title
President
Phone
(301) 745-3695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0040622 MD Primary

Addresses

Primary practice location

19236 Meadow View Dr
Hagerstown, MD 21742-2924

Mailing address

19236 Meadow View Dr
Hagerstown, MD 21742-2924
Phone (301) 745-3695

Other identifiers 4

IdentifierTypeStateIssuer
080103436OtherMDRAILROAD MEDICARE
359QOtherMDMEDICARE ID
68550001OtherFEDERAL BCBS
0U04OtherBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1285075069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19236 MEADOW VIEW DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422924",
            "telephone_number": "301-745-3695",
            "fax_number": "301-745-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19236 MEADOW VIEW DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422924",
            "telephone_number": "301-745-3695",
            "fax_number": "301-745-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST UZICANIN MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "UZICANIN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-745-3695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0040622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080103436",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "359Q",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS",
            "identifier": "68550001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0U04",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.