Organization Active NPI

Todd William Ulmer MD PC

  • Specialist
  • Portland, OR
National Provider Identifier
1245419514
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD20670 Issued in OR
Legal business name
TODD WILLIAM ULMER MD PC
Practice address
10101 SE Main St
Suite 3008
Portland, OR 97216-2455
Phone
(503) 253-3268
Fax
(503) 253-1530
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Dr. Todd William UlmerNPI 1407834773
Title
Owner
Phone
(503) 253-1223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD20670 OR Primary

Addresses

Primary practice location

10101 SE Main St
Suite 3008
Portland, OR 97216-2455

Mailing address

10101 SE Main St
Suite 3008
Portland, OR 97216-2455
Phone (503) 253-3268

National Provider Directory

National Provider Directory

Locations

10101 SE Main St
Ste 300
Portland, OR 97216

10101 SE Main St
Ste 3008
Portland, OR 97216
Phone (503) 253-1223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1245419514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST",
            "address_2": "SUITE 3008",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162455",
            "telephone_number": "503-253-3268",
            "fax_number": "503-253-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST",
            "address_2": "SUITE 3008",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162455",
            "telephone_number": "503-253-3268",
            "fax_number": "503-253-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD WILLIAM ULMER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "ULMER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-253-1223",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD20670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.