John Alan Ullrich, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

8535A Issued in WY

Practice address

2710 Harney Street, Suite 204
Snowy Range Surgical Specialties
Laramie, WY 82072

Phone

(307) 460-2055

Fax

(307) 460-2058

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Oregon Health Sciences University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivinson Memorial Hospital 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Laramie, WY, CCN 537077
• Ivinson Memorial Hospital Hospital, Laramie, WY, CCN 530025
• North Platte Valley Medical Center Hospital, Saratoga, WY, CCN 531317
• Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014

Merit-based Incentive Payment System (MIPS)

Final score

85.68 of 100Reported as group

Quality

75.73

Promoting interoperability

100

Improvement activities

40

Cost

76.55

Merit-based Incentive Payment System (MIPS)

Final score

33.71 of 100Reported as group

Quality

39.66

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ivinson Memorial Hospital

  • Rural Health Clinic/Center
  • Laramie, WY
  • NPI 1033628599

  WY

  Medicare reassignment Care Compare group NPD
• Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
  • NPI 1366626269
  Care Compare group NPD
• Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
  • NPI 1336289552
  Care Compare group
• Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
  • NPI 1912181827
  Care Compare group
• Ivinson Memorial Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Laramie, WY
  • NPI 1952585861
  Care Compare group

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

• Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
  • NPI 1336289552

  Hospital

  Care Compare affiliation
• Memorial Hospital of Laramie County

  • General Acute Care Hospital
  • Cheyenne, WY
  • NPI 1285621839

  Hospital

  Care Compare affiliation
• Orion Homecare, LLC

  • Home Health Agency
  • Laramie, WY
  • NPI 1952857674
  Care Compare affiliation
• Platte Valley Healthcare Project

  • Critical Access Hospital
  • Saratoga, WY
  • NPI 1730899204

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1477577542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 HARNEY STREET, SUITE 204",
            "address_2": "SNOWY RANGE SURGICAL SPECIALTIES",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82072",
            "telephone_number": "307-460-2055",
            "fax_number": "307-460-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 HARNEY STREET, SUITE 204",
            "address_2": "SNOWY RANGE SURGICAL SPECIALTIES",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82072",
            "telephone_number": "307-460-2055",
            "fax_number": "307-460-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLRICH",
        "first_name": "JOHN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WY",
            "license": "8535A",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A83997",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "48808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yalandra Tyson
• Laura Ugalde
• Erica Uhl
• Uhs of Wyoming Inc
• Jason Hendrik Uitterdyk, LPC
• University of Wyoming
• University of Wyoming
• University of Wyoming - Wyoming Institute for Disabilities
• University of Wyoming Speech and Hearing Clinic
• University of Wyoming Student Health Service

• All providers in Laramie, WY
• Surgery Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.