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NPI Code Detail

MEDICARE: JOHN UCCI M.D.

MEDICARE: JOHN UCCI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician35084142UOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2311155352OTHERNATIONWIDE INS.
30112393OTHERUNITED HEALTHCARE
4311155352OTHERCENTRAL BENEFITS
5311155352OTHERAETNA
6311155352OTHEROHIO HEALTH CHOICE
7311155352OTHERE V BENEFITS
8311155352OTHERGREAT WEST
9311155352OTHEREMERALD HEALTH
10000000332118OTHEROHANTHEM
11311155352OTHERPPO NEXT
12311155352OTHERCIGNA/CONN. GEN.
13311155352001OTHERTRICARE

General Provider Information

NPI Number : 1194718049
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN UCCI M.D.
Provider Business Mailing Address
First Line : 1049 WESTERN AVE
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-1104
Country : US
Telephone Number : 740-773-4366
Fax Number : 740-775-7855
Provider Business Practice Location Address
First Line : 1049 WESTERN AVE
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-1104
Country : US
Telephone Number : 740-773-4366
Fax Number : 740-775-7855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 10/25/2013

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