Active NPI
Fernando De la Torre Ugarte, M.D.
- Surgery Physician
- Marysville, KS
National Provider Identifier
1417963133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 04-24207
- Practice address
- 1902 May St
Marysville, KS 66508-1200 - Phone
- (785) 562-2517
- Fax
- (785) 562-5149
- NPI assigned
- Aug 1, 2006
- Last updated
- May 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 04-24207 | KS | Primary |
Addresses
Primary practice location
1902 May St
Marysville, KS 66508-1200
Mailing address
708 N 18TH St
Marysville, KS 66508-1338
Phone (785) 562-2517
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025891000 | Medicaid | NE | |
| 100135440A | Medicaid | KS | |
| 023499 | Other | KS | BC/BS KS |
| 20592 | Other | NE | BC/BS NE |
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": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1417963133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 N 18TH ST",
"city": "MARYSVILLE",
"state": "KS",
"postal_code": "665081338",
"telephone_number": "785-562-2517",
"fax_number": "785-562-5149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 MAY ST",
"city": "MARYSVILLE",
"state": "KS",
"postal_code": "665081200",
"telephone_number": "785-562-2517",
"fax_number": "785-562-5149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA TORRE UGARTE",
"first_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KS",
"license": "04-24207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025891000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100135440A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS KS",
"identifier": "023499",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS NE",
"identifier": "20592",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marysville, KS
- Community Memorial Healthcare, Inc.
- Community Memorial Healthcare, Inc.
- County of Marshall
- Shelly Marie Crome, LMFT
- David L Hamel DDS, PA (Marysville Dental Care)
- Austin Dean Diederich, PT, DPT
- Mandi Diederich, PA-C
- Dr. Stanley J. Nelson
- DRS Price Young Odle & Horsch PA (The EyeDoctors)
- Charis Dunlap, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.