J Martin Ulrich DO PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

5101010742 Issued in MI

Legal business name

J MARTIN ULRICH DO PC

Practice address

9463 Holly Rd
Ste 100
Grand Blanc, MI 48439-2557

Phone

(810) 695-3766

Fax

(810) 695-9881

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

John Ulrich, DONPI 1366554677

Title

Owner

Phone

(810) 695-3766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John M Ulrich, DO

  • Facial Plastic Surgery Physician
  • Grand Blanc, MI
  • NPI 1366554677
  Medicare reassignment Care Compare group NPD Authorized official
• Julie Ann Davis, MA CCC-A

  • Audiologist
  • Lapeer, MI
  • NPI 1972531770
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1861606972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455",
            "telephone_number": "810-424-2007",
            "fax_number": "810-743-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9463 HOLLY RD",
            "address_2": "STE 100",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392557",
            "telephone_number": "810-695-3766",
            "fax_number": "810-695-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MARTIN ULRICH DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-695-3766",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "5101010742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian George Irwin, RN
• Teia Lee Irwin, FNP-BC
• Ismail B. Sendi, MD PC (New Oakland Family Center)
• Florina Ivan, RPH
• Tamara Roumayah Ivers, MD
• Matthew Jaboro
• Jackson Chiropractic Clinic, PC
• Avery Michael Jackson III, M.D.
• Caramarie Jackson, PA-C
• Charles Arthur Jackson Jr., D.C.

• Otolaryngology Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.