Jeffrey Marlowe Kucine, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0036889 Issued in MD

Practice address

107 Ridgely Ave
Suite 14C
Annapolis, MD 21401-1417

Phone

(410) 263-3313

Fax

(410) 263-4651

NPI assigned

Apr 26, 2007

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 8, 2014 through Oct 8, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1407076128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RIDGELY AVE",
            "address_2": "SUITE 14C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011417",
            "telephone_number": "410-263-3313",
            "fax_number": "410-263-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RIDGELY AVE",
            "address_2": "SUITE 14C",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011417",
            "telephone_number": "410-263-3313",
            "fax_number": "410-263-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCINE",
        "first_name": "JEFFREY",
        "middle_name": "MARLOWE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0036889",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "H0036889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley David Krimins, MD FACP
• Vishnupriya G Krishna, MD
• Susan Gail Krohn, LCSW-C
• Deborah Krueger, M.S., CCC-SLP
• Jessica Early Kubit, DPT
• Matthew Bryant Kuehn, M.D.
• Kenneth Kufta, DMD, MD
• Ariana Kuhnsman, DO
• Tanuja G. Kulasinghe, MD
• Alison M Kullman

• Family Medicine Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.