Individual provider Active NPI

Christine Marie Ullman, D.O.

  • Family Medicine Physician
  • Dublin, VA
National Provider Identifier
1649566423
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102-203739 Issued in VA
Practice address
118 Main Street
Dublin, VA 24084-3211
Phone
(540) 674-8805
Fax
(540) 674-8670
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116023873 VA
Family Medicine Physician 207Q00000X 0102-203739 VA Primary

Addresses

Primary practice location

118 Main Street
Dublin, VA 24084-3211

Mailing address

118 Main Street
Dublin, VA 24084-3211
Phone (540) 674-8805

Other identifiers 1

IdentifierTypeStateIssuer
VVE991AOtherVAMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cullman7264@direct.carilionclinic.org Direct

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20141023002421 VA Practitioner - Family Practice 2365699436 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

118 Broad St
Dublin, VA 24084-3211
Phone (540) 674-2485

159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 921-6000

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 224-5170

911 E Main St
Floyd, VA 24091-4183
Phone (540) 745-2031

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102-203739VAMDFamily Medicine Physician
0116023873VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Giles Community Hospital CurrentSince Dec 29, 2024 Accepting new patients
Carilion Medical Center CurrentSince Dec 29, 2024 Accepting new patients
Carilion Healthcare Corporation CurrentSince Aug 25, 2014 Accepting new patients
Carilion Giles Community Hospital CurrentSince Dec 29, 2024 Accepting new patients
Carilion Healthcare Corporation CurrentSince Aug 25, 2014 Accepting new patients
Carilion Medical Center CurrentSince Dec 29, 2024 Accepting new patients

Locations

901 Plantation Rd
Ste 1
Blacksburg, VA 24060
Phone (540) 951-0352

1420 N Main St
Blacksburg, VA 24060
Phone (540) 951-8380

118 Broad St
Dublin, VA 24084
Phone (540) 674-5244

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: cullman7264@direct.carilionclinic.org

Organizations & group practices 6

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 6

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1649566423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAIN STREET",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240843211",
            "telephone_number": "540-674-8805",
            "fax_number": "540-674-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAIN STREET",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240843211",
            "telephone_number": "540-674-8805",
            "fax_number": "540-674-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLMAN",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116023873",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102-203739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "VVE991A",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cullman7264@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cullman7264@direct.carilionclinic.org",
            "address_1": "118 Main Street",
            "city": "Dublin",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240843211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, VA

Sources for this page

Verify at the official NPI Registry.