Physician Compare National (NPI:1992728380)

HEALTHCARE PROVIDER: ERNEST UZICANIN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1992728380
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446487334
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20131223000480
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	UZICANIN
	Individual professional last name
Provider First Name	ERNEST
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	19236 MEADOW VIEW DR
	Group Practice or individual's line 1 address
City	HAGERSTOWN
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	217422924
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	210001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERITUS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y