Individual provider Active NPI

William Ulrich, PA-C

  • Surgical Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1366424764
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA 9102200 Issued in FL
Practice address
7593 Boynton Beach Blvd
Ste 280
Boynton Beach, FL 33437-6154
Phone
(561) 733-5888
Fax
(888) 714-5190
NPI assigned
Nov 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA 9102200 FL Primary

Addresses

Primary practice location

7593 Boynton Beach Blvd
Ste 280
Boynton Beach, FL 33437-6154

Mailing address

7593 Boynton Beach Blvd
Ste 280
Boynton Beach, FL 33437-6154
Phone (561) 733-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20051214000515 FL Practitioner - Physician Assistant 5890764153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Orthopedics of the Palm Beaches P.a.Group PAC ID 0244232767, 10 clinicians

Practice addresses (Care Compare)

6056 Boynton Beach Blvd
Suite 215
Boynton Beach, FL 33437-3500
Phone (561) 733-5888

Hospital & facility affiliations

  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9102200FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Enterprises Past Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. Past Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1366424764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 BOYNTON BEACH BLVD",
            "address_2": "STE 280",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376154",
            "telephone_number": "561-733-5888",
            "fax_number": "888-714-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7593 BOYNTON BEACH BLVD",
            "address_2": "STE 280",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376154",
            "telephone_number": "561-733-5888",
            "fax_number": "888-714-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 9102200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.