Individual provider Active NPI

Tyson Harlow Ulmer, M.D.

  • Anesthesiology Physician
  • Ocala, FL
National Provider Identifier
1114091477
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME107970 Issued in FL
Practice address
1511 SW 1St Ave
Ocala, FL 34471-6505
Phone
(352) 867-8311
Fax
(352) 867-1053
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X TRN9093 FL
Anesthesiology Physician 207L00000X ME107970 FL Primary

Addresses

Primary practice location

1511 SW 1St Ave
Ocala, FL 34471-6505

Mailing address

PO Box 3130
Ocala, FL 34478-3130
Phone (352) 867-8311

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

LicenseStateTypeSpecialty
TRN9093FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart Cardiovascular Anesthesia Associates PLLC Anesthesiology PastSince Jul 31, 2006 Accepting new patients
Stuart Cardiovascular Associates, PLLC PastSince Jul 31, 2006 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1114091477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3130",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344783130",
            "telephone_number": "352-867-8311",
            "fax_number": "352-867-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716505",
            "telephone_number": "352-867-8311",
            "fax_number": "352-867-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULMER",
        "first_name": "TYSON",
        "middle_name": "HARLOW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "TRN9093",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME107970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.