Richard Douglas Ulstad, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103634 Issued in NC

Practice address

1905 Glen Meade Rd
Wilmington, NC 28403-6024

Phone

(910) 763-6251

Fax

(910) 763-7408

NPI assigned

Apr 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Northwestern University Feinberg Medical School, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vidant Duplin Hospital Hospital, Kenansville, NC, CCN 340120

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: richard.ulstad.1@1905.direct.athenahealth.com
• Direct secure messaging: richardulstad@uasnc.allscriptsdirect.net

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.

• Med First Immediate Care & Family Practice, PA

  • Family Medicine Physician
  • Jacksonville, NC
  • NPI 1053503763
  Medicare reassignment Care Compare group
• Chicora Medical Group PA

  • Pulmonary Disease Physician
  • Shallotte, NC
  • NPI 1770552119
  NPD (past)
• Shallotte Medical Center Inc

  dba Holden Beach Medical Center

  • Family Medicine Physician
  • Supply, NC
  • NPI 1306815741
  NPD (past)
• Shallotte Medical Center Inc

  dba Seaside Medical Center

  • Family Medicine Physician
  • Sunset Beach, NC
  • NPI 1538138979
  NPD (past)
• Shallotte Medical Center Inc

  • Family Medicine Physician
  • Shallotte, NC
  • NPI 1609845049
  NPD (past)
• Urgent Care Centers of Carolina, Inc.

  • Urgent Care Clinic/Center
  • Burlington, NC
  • NPI 1235214123
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Duplin General Hospital Incorporated

  dba ECU Health Duplin Hospital

  • General Acute Care Hospital
  • Kenansville, NC
  • NPI 1508832833
  Care Compare affiliation

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1356304810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 GLEN MEADE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036024",
            "telephone_number": "910-763-6251",
            "fax_number": "910-763-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 GLEN MEADE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036024",
            "telephone_number": "910-763-6251",
            "fax_number": "910-763-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULSTAD",
        "first_name": "RICHARD",
        "middle_name": "DOUGLAS",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chester J Tyson IV, DDS
• Michaela Barker Tyson
• Erica Lynn Udall, FNP-C
• Mallory Anna Ulmer, DMD
• Melissa Bitto Ulstad, PA-C
• Ultimate Support Services
• Ultra Beauty and Braids (Catrinna Johnson)
• Alexandra N Umstead, LCSW
• Uncw Student Health Center
• Uncw Student Health Center

• Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.