Provider Demographics
NPI:1396723474
Name:ULEWICZ, DENNIS E (MD)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:E
Last Name:ULEWICZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6321 ROUTE 30 STE B
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-9704
Mailing Address - Country:US
Mailing Address - Phone:724-671-1740
Mailing Address - Fax:724-523-7724
Practice Address - Street 1:6321 ROUTE 30 STE B
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-9704
Practice Address - Country:US
Practice Address - Phone:724-671-1740
Practice Address - Fax:724-523-7724
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1250852085R0203X, 2085R0001X
PAMD065438L2085R0203X, 2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001469092Medicaid
PA000278420OtherHIGHMARK
PA920005467OtherRAILROAD MEDICARE
PA001469092Medicaid
PA000278420OtherHIGHMARK
PA920005467OtherRAILROAD MEDICARE
PA920005467OtherRAILROAD MEDICARE