Active NPI
Richard F Uhlmann, M.D.
- Gastroenterology Physician
- Boise, ID
National Provider Identifier
1083609663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- M-6082
- Practice address
- 425 W Bannock St
Boise, ID 83702-6035 - Phone
- (208) 343-1702
- Fax
- (208) 342-7042
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | M-6082 | ID | Primary |
Addresses
Primary practice location
425 W Bannock St
Boise, ID 83702-6035
Mailing address
425 W Bannock St
Boise, ID 83702-6035
Phone (208) 343-1702
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010004579 | Other | ID | BLUE SHIELD OF IDAHO |
| 100004184 | Other | ID | RAILROAD MEDICARE |
| 002713200 | Medicaid | ID | |
| 10827 | Other | ID | BLUE CROSS OF IDAHO |
| 055397 | Other | ID | OREGON HEALTH AND WELFARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-6082 | ID | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298419200000",
"number": "1083609663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026035",
"telephone_number": "208-343-1702",
"fax_number": "208-342-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026035",
"telephone_number": "208-343-1702",
"fax_number": "208-342-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UHLMANN",
"first_name": "RICHARD",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2011-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ID",
"license": "M-6082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF IDAHO",
"identifier": "000010004579",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100004184",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002713200",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "10827",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON HEALTH AND WELFARE",
"identifier": "055397",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.