Active NPI
Phillip G Ulrich, MD
- Family Medicine Physician
- Batavia, NY
National Provider Identifier
1225137201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 162499
- Practice address
- 30 Bank Street
United Memorial Medical Center Corporate Health
Batavia, NY 14020 - Phone
- (585) 344-4342
- Fax
- (585) 344-5469
- NPI assigned
- Sep 22, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 162499 | NY | Primary |
Addresses
Primary practice location
30 Bank Street
United Memorial Medical Center Corporate Health
Batavia, NY 14020
Mailing address
30 Bank Street
United Memorial Medical Center Corporate Health
Batavia, NY 14020
Phone (585) 344-4342
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162499 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225137201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BANK STREET",
"address_2": "UNITED MEMORIAL MEDICAL CENTER CORPORATE HEALTH",
"city": "BATAVIA",
"state": "NY",
"postal_code": "14020",
"telephone_number": "585-344-4342",
"fax_number": "585-344-5469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BANK STREET",
"address_2": "UNITED MEMORIAL MEDICAL CENTER CORPORATE HEALTH",
"city": "BATAVIA",
"state": "NY",
"postal_code": "14020",
"telephone_number": "585-344-4342",
"fax_number": "585-344-5469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "PHILLIP",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "162499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.