Individual provider Active NPI

Ernest Uzicanin, MD

  • Family Medicine Physician
  • Hagerstown, MD
National Provider Identifier
1992728380
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0040622 Issued in MD
Practice address
19236 Meadow View Dr
Hagerstown, MD 21742-2924
Phone
(301) 745-3695
Fax
(301) 745-4572
NPI assigned
Jul 26, 2006
Last updated
Jun 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

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 3

IdentifierTypeStateIssuer
68550001OtherFEDERAL BCBS NASCO
080103436OtherRAILROAD MEDICARE
0U04OtherMDBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20131223000480 MD Practitioner - Family Practice 0446487334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0040622MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ernest Uzicanin MD, PC Family Medicine CurrentSince Mar 3, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ernest.uzicann.p1@direct.familyhch.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1992728380",
    "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": {
        "last_name": "UZICANIN",
        "first_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0040622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS NASCO",
            "identifier": "68550001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080103436",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0U04",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.