DR. JEFFREY CLARE ULRICH (NPI# 1538109830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538109830 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY CLARE ULRICH |
| Credential | MD |
| Practice Address |
2525 W University Ave Suite 504 Muncie IN 47303-3421 |
| Mailing Address |
2525 W Univeristy Ave Suite 504 Muncie IN 47303-3409 |
| Practice Telephone | 7652897127 |
| Mailing Telephone | 7652897127 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 01042241 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS | 000000091192 | 01 |
| IN | 100377090A | 05 |
| Street Address |
2525 W UNIVERSITY AVE SUITE 504 |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739100 | Paul B Stewart | Surgery | 2525 W University Ave, Ste 403, Muncie, IN 47303-3409 | 2005-06-08 |
| 1043818396 | Jessica Lynn Handy | Registered Nurse | 2525 W University Ave, Muncie, IN 47303-3421 | 2020-10-09 |
| 1518502541 | Shelby Nicole Laflash | Nurse Practitioner | 2525 W University Ave, Muncie, IN 47303-3421 | 2019-11-13 |
| 1174164503 | Kasey L Ely | Nurse Practitioner | 2525 W University Ave, Muncie, IN 47303-3421 | 2019-10-07 |
| 1508390592 | Pavan K Patel | Internal Medicine | 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 | 2017-04-17 |
| 1982138988 | Sudarsana Bharadwaj Srivangipuram | Student in an Organized Health Care Education/Training Program | 2525 W University Ave, Suite 401 Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2017-04-17 |
| 1639603947 | Akshita Patel | Internal Medicine | 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 | 2017-04-13 |
| 1831622737 | Sindhu Priya Devarashetty | Student in an Organized Health Care Education/Training Program | 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 | 2017-04-06 |
| 1053861500 | Rachel L Hency | Nurse Practitioner | 2525 W University Ave, Muncie, IN 47303-3421 | 2016-10-08 |
| 1841647260 | Richard Uy | Internal Medicine | 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 | 2016-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124653803 | Catherine Baugher | Urology | 2525 W University Ave Ste 504, Muncie, IN 47303-3409 | 2020-03-03 |
| 1326093147 | Urology Associates, LLC | Urology | 2525 W University Ave Suite 504, Muncie, IN 47303-3409 | 2006-05-23 |
| 1649461559 | Onisuru T Okotie | Urology | 2525 W University Ave, Suite 504, Muncie, IN 47303-3421 | 2007-08-06 |
| 1558573709 | David W Hall II | Urology | 2525 W University Ave, Suite 504, Muncie, IN 47303-3421 | 2007-05-03 |
| 1447290721 | Albert Nicholas Bruno Jr. | Urology | 2525 W University Ave, Suite 504, Muncie, IN 47303-3409 | 2006-06-07 |
| 1851339709 | Robert Simpson Williams | Urology | 2525 W University Ave, Suite 504, Muncie, IN 47303-3421 | 2006-06-03 |
| 1134129679 | Samuel Chan Kim | Urology | 2525 W University Ave, Suite 504, Muncie, IN 47303-3421 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752799 | Mark Alexander Assmus | Urology | 1801 Senate Blvd Ste 220, Indianapolis, IN 46202-1260 | 2020-08-26 |
| 1245881812 | Carol Jean Stephens | Urology | 1000 N 16th St Ste 210, New Castle, IN 47362-4319 | 2019-09-25 |
| 1376960302 | Mohammad Mahmoud | Urology | 535 Barnhill Dr Ste 150, Indianapolis, IN 46202-5116 | 2014-03-27 |
| 1114364064 | Alexander J Tatem | Urology | 8240 Naab Rd Ste 220, Indianapolis, IN 46260-1950 | 2013-06-03 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1861744997 | Vincent Joseph Santare | Urology | 134 Carnoustie Ln, Schererville, IN 46375-2926 | 2012-10-13 |
| 1821353814 | Little Company of Mary Hospital of Indiana Inc | Urology | 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 | 2012-07-06 |
| 1154681369 | Joshua David Roth | Urology | 705 Riley Hospital Dr Ste 4230, Indianapolis, IN 46202-5109 | 2012-05-22 |
| 1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
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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.