Edward Joseph Ulrich III, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05121 Issued in TX

Practice address

300 S Colorado St
Suite a
Lockhart, TX 78644-2700

Phone

(512) 376-9690

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.ulrich.1@8363.direct.athenahealth.com

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

• Ascension Seton

  • Family Medicine Physician
  • Luling, TX
  • NPI 1215118609

  TX

  Medicare reassignment NPD
• Ascension Seton

  • Medicare Defined Swing Bed Hospital Unit
  • Smithville, TX
  • NPI 1598590101
  NPD
• Seton Family of Hospitals

  • Certified Registered Nurse Anesthetist
  • Burnet, TX
  • NPI 1417979014
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1295953487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S COLORADO ST",
            "address_2": "SUITE A",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442700",
            "telephone_number": "512-376-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S COLORADO ST",
            "address_2": "SUITE A",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442700",
            "telephone_number": "512-376-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE PA LICENSE",
            "identifier": "PA05121",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sandra Denise Velasquez, AU.D., CCC-A
• Wal-Mart Stores Texas LLC
• Walgreen Co
• Carleen Waller

• All providers in Lockhart, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.