National Provider Identifier
Matthew S Ujevich, DO
Matthew S Ujevich, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ithaca, NY and a listed phone number of (607) 257-5858.
Profile Overview
- NPI
- 1124555206
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- May 19, 2017
- Last Updated
- September 21, 2023
Practice Location
- 1780 Hanshaw RD
- Ithaca, NY 14850-9105
Phone: (607) 257-5858
Mailing Address
- 120 Chambers Dr
- Monaca, PA 15061-1349
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1124555206
- Entity Type
- Individual
- Last Name
- Ujevich
- First Name
- Matthew
- Middle Name
- S
- Credential
- DO
- Mailing Street Address
- 120 Chambers Dr
- Mailing City
- Monaca
- Mailing State
- PA
- Mailing ZIP Code
- 15061-1349
- Mailing Country
- US
- Mailing Phone
- (724) 630-8384
- Practice Street Address
- 1780 Hanshaw RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9105
- Practice Country
- US
- Practice Phone
- (607) 257-5858
- Enumeration Date
- May 19, 2017
- Last Updated
- September 21, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Certification Date
- September 21, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)