Active NPI
Ernest Uzicanin MD, PC
- Family Medicine Physician
- Hagerstown, MD
National Provider Identifier
1285075069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0040622
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ernest Uzicanin, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080103436 | Other | MD | RAILROAD MEDICARE |
| 359Q | Other | MD | MEDICARE ID |
| 68550001 | Other | FEDERAL BCBS | |
| 0U04 | Other | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Hagerstown, MD
- NPI 1992728380
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.