Individual provider Active NPI

Rolf Peter Ulland, MD

  • Obstetrics & Gynecology Physician
  • Saint Paul, MN
National Provider Identifier
1295711265
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25116 Issued in MN
Practice address
870 Grand Ave
Saint Paul, MN 55105-3291
Phone
(651) 326-5650
Fax
(651) 326-5671
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25116 MN Primary
Obstetrics & Gynecology Physician 207V00000X 23596 WI

Addresses

Primary practice location

870 Grand Ave
Saint Paul, MN 55105-3291

Mailing address

870 Grand Ave
Saint Paul, MN 55105-3291
Phone (651) 326-5650

Other identifiers 1

IdentifierTypeStateIssuer
30289400MedicaidWI

Other names 1

  • Dr. R Peter Ulland Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1295711265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053291",
            "telephone_number": "651-326-5650",
            "fax_number": "651-326-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053291",
            "telephone_number": "651-326-5650",
            "fax_number": "651-326-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLAND",
        "first_name": "ROLF",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "25116",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "23596",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30289400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R",
            "last_name": "ULLAND",
            "middle_name": "PETER",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.