Individual provider Active NPI

Stephen C Ulrich, M.D.

  • Family Medicine Physician
  • New Lexington, OH
National Provider Identifier
1881670792
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35042516 Issued in OH
Practice address
1625 Airport Rd
New Lexington, OH 43764-9749
Phone
(740) 342-5158
Fax
(740) 342-6702
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35042516 OH Primary

Addresses

Primary practice location

1625 Airport Rd
New Lexington, OH 43764-9749

Mailing address

PO Box 1821
Zanesville, OH 43702-1821
Phone (740) 455-3304

Other identifiers 1

IdentifierTypeStateIssuer
0409338MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110302000012 OH Practitioner - Family Practice 6406838465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perry County Family Practice IncGroup PAC ID 3173505138, 4 clinicians

Practice addresses (Care Compare)

1625 Airport Rd
New Lexington, OH 43764-9749

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039
  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35042516OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Home Primary Care Center Family Medicine Current Accepting new patients
Perry County Family Practice, Inc. Past Accepting new patients

Locations

3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248

Interoperability endpoints

  • Direct secure messaging: stephen.ulrich.p13@direct.pgseo.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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 5

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1881670792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1821",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437021821",
            "telephone_number": "740-455-3304",
            "fax_number": "740-455-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 AIRPORT RD",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437649749",
            "telephone_number": "740-342-5158",
            "fax_number": "740-342-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35042516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0409338",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lexington, OH

Sources for this page

Verify at the official NPI Registry.