Rebecca Ulrich, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1245 Issued in SC

Practice address

100 E Wood St
Suite 301
Spartanburg, SC 29303-3004

Phone

(864) 560-7070

Fax

(864) 560-7073

NPI assigned

Sep 14, 2007

Last updated

Dec 14, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 24 On Physicians, P.C.

  • Hospitalist Physician
  • Murphy, NC
  • NPI 1912956780
  Medicare reassignment NPD
• Acs Emergency Physicians of SC PC

  • Emergency Medicine Physician
  • Beaufort, SC
  • NPI 1124355375
  Medicare reassignment
• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555
  Medicare reassignment
• Cep America LLC

  • Emergency Medicine Physician
  • Simpsonville, SC
  • NPI 1255170361
  Medicare reassignment
• Musc Community Physicians

  dba MUSC Community Physicians Specialty

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006
  Medicare reassignment
• Southeastern Hospitalist Services PC

  • Hospitalist Physician
  • Myrtle Beach, SC
  • NPI 1003280108
  Medicare reassignment
• St. Francis Hospital, Inc.

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1558305995
  Medicare reassignment
• Cep America LLC

  • Emergency Medicine Physician
  • Bluffton, SC
  • NPI 1295531440
  NPD
• Musc Community Physicians

  dba MUSC Health Primary Care - Bowman

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1225735772
  NPD
• Musc Community Physicians

  dba MUSC Community Physicians PC

  • Family Medicine Physician
  • Bamberg, SC
  • NPI 1992383145
  NPD
• St Francis Hospital Inc

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1497796296
  NPD
• St Francis Hospital Inc

  dba Bon Secours St. Francis Oncology Specialists

  • Oncology Clinic/Center
  • Greenville, SC
  • NPI 1659175719
  NPD

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1649466483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293042168",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E WOOD ST",
            "address_2": "SUITE 301",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033004",
            "telephone_number": "864-560-7070",
            "fax_number": "864-560-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "REBECCA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0563PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa A Tye, LMSW
• Betty C. Tysinger, PH.D.
• Andrea S Ulloa
• Audrey Grace Ulmer
• Enoch G. Ulmer, MD
• Mary Welborn Underwood, MSW
• Unmoored Counseling Collective, LLC
• Upper Cervical Health Centers of America
• Upstate Affiliate Organization (GHS Kidnetics - Spartanburg)
• Upstate Assessment Group LLC

• Surgical Physician Assistant in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Surgical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.