MR. JEFFREY ULATAN (NPI# 1154939569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154939569 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY ULATAN |
| Other Name | MR. JEFFREY CAGALITAN ULATAN |
| Practice Address |
25 Shattuck St Boston MA 02115-6027 |
| Mailing Address |
424 Oxford St Gsas Mail Center Cambridge MA 02138 |
| Practice Telephone | 6467605333 |
| Mailing Telephone | 3176474390 |
| Mailing Fax Number | 3176474390 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1744R1102X |
Specialist Specialization: Research Study |
3172417 | MA | Other Service Providers |
| N | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
AAM3172417 | MA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 3172417 | MA | Allopathic & Osteopathic Physicians |
| N | 246ZB0301X |
Specialist/Technologist, Other Specialization: Biomedical Engineering |
3172417 | MA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | SSRN | 4262900 | 01 |
| MA | RESEARCHID | AAM-5560-2020 | 01 |
| GU | ORCID | 0000-0002-3756-0568 | 01 |
| MA | AAMC | 15361568 | 01 |
| MA | PARTNERS® | 24578497 | 01 |
| Street Address |
25 SHATTUCK ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992761233 | Raphael Dolin | Internal Medicine | 25 Shattuck St, Harvard Medical School, Boston, MA 02115-6027 | 2006-04-25 |
| 1720615537 | Craig May | Student in an Organized Health Care Education/Training Program | 25 Shattuck St, Boston, MA 02115-6027 | 2020-03-24 |
| 1659908531 | Amanda West | Student in an Organized Health Care Education/Training Program | 25 Shattuck St, Boston, MA 02115-6092 | 2020-03-23 |
| 1306369244 | Joshua Edward Rotella | Emergency Medicine | 25 Shattuck St, Boston, MA 02115-6027 | 2017-07-24 |
| 1780079954 | Arjun Ramesh Khanna | Student in an Organized Health Care Education/Training Program | 25 Shattuck St, Boston, MA 02115-6027 | 2015-04-03 |
| 1245587757 | Benjamin Isaac Rapoport | Student in an Organized Health Care Education/Training Program | 25 Shattuck St, Harvard Medical School, Boston, MA 02115-6027 | 2012-08-14 |
| 1194846246 | Carl Salzman | Psychiatry & Neurology | 25 Shattuck St, Boston, MA 02115-6027 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689994774 | Alice D Murphy | General Practice | 9 Hereford St, Boston, MA 02115-1602 | 2010-06-11 |
| 1851626493 | Charles Stanwood Carignan | General Practice | 18 Yarmouth St, Boston, MA 02116-5810 | 2009-10-15 |
| 1518088665 | Takashi Maki | General Practice | Harvard Inst of Medicine, 77 Avenue Louis Pasteur, Boston, MA 02115 | 2007-04-03 |
| 1902925142 | Nina A Fuchs | General Practice | Boston Univ Std Hlth Ser, 881 Commonwealth Avenue, Boston, MA 02215 | 2007-03-28 |
| 1245303494 | Geraldine Somers | General Practice | Suffolk County Jail, 200 Nashua Street, Boston, MA 02114 | 2006-11-16 |
| 1386266104 | Mhg Physician Services - California | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-05-14 |
| 1164051520 | Mhg Physician Services - Oregon LLC | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-04-07 |
| 1518433531 | Mhg Physician Services - Massachusetts Pllc | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-10-17 |
| 1376027227 | Mhg Clinical Services LLC | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-09-17 |
| 1912486960 | Mhg Physician Services New Jersey, LLC | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-08-10 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.