Marijana C Ducic, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101057772 Issued in VA

Practice address

5275 Lee Highway
Suite 200
Arlington, VA 22207

Phone

(703) 717-4090

Fax

(703) 717-4090

NPI assigned

Oct 31, 2005

Last updated

May 9, 2014By the provider in NPPES

Sex

Female

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)

Enrolled

Credentials

Doctor of Medicine

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.

• Virginia Pediatric and Adolescent Medicine

  • Pediatrics Physician
  • Arlington, VA
  • NPI 1376733782
  NPD (past) Authorized official
• 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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1871584797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 LEE HIGHWAY",
            "address_2": "SUITE 200",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22207",
            "telephone_number": "703-717-4090",
            "fax_number": "703-717-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 LEE HIGHWAY",
            "address_2": "SUITE 200",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22207",
            "telephone_number": "703-717-4090",
            "fax_number": "703-717-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCIC",
        "first_name": "MARIJANA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101057772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006726054",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Dolores Dryfoos, RIN
• Dsni Horizons Inc. (Seniors Helping Seniors)
• Betewoin Dubale
• Dawn M Dubbe, CRNA
• Ilona Dubuske, D.O.
• Mary Elizabeth Dudley
• Scott Branin Dudley, DMD, MSED, FAGD
• Kristin A Duff Carlini, PA-C
• David Duhamel, MD
• Alicia Brooke Duhon

• Pediatrics Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.