Organization Active NPI

Robert N. Ulseth, MD, PC

  • Family Medicine Physician
  • Duxbury, MA
National Provider Identifier
1356334544
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49764 Issued in MA
Legal business name
ROBERT N. ULSETH, MD, PC
Practice address
20 Tremont St
BLDG 9, Suite 17
Duxbury, MA 02332-5310
Phone
(781) 934-0135
Fax
(781) 934-0425
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Robert Norman Ulseth, MD
Title
Physician
Phone
(781) 934-0135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 49764 MA Primary

Addresses

Primary practice location

20 Tremont St
BLDG 9, Suite 17
Duxbury, MA 02332-5310

Mailing address

PO Box 2864
Duxbury, MA 02331-2864
Phone (781) 934-0135

Other identifiers 8

IdentifierTypeStateIssuer
0004519894OtherAETNA
M13736OtherMABC/BS
080006250OtherRAILROAD MEDICARE
7045OtherMAHARVARD PILGRIM HEALTH
723013OtherMATUFTS HEALTH PLAN
9733515MedicaidMA
0508611OtherAETNA HMO
6789727OtherCIGNA

National Provider Directory

National Provider Directory

Locations

17 Railroad Ave
Duxbury, MA 02332
Phone (781) 934-0135

20 Tremont St
Ste 17
Duxbury, MA 02332
Phone (781) 934-0135

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1356334544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2864",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023312864",
            "telephone_number": "781-934-0135",
            "fax_number": "781-934-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TREMONT ST",
            "address_2": "BLDG 9, SUITE 17",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023325310",
            "telephone_number": "781-934-0135",
            "fax_number": "781-934-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT N. ULSETH, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "ULSETH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "781-934-0135",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "49764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004519894",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "M13736",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080006250",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "7045",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "723013",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9733515",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0508611",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6789727",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.