MR. TIMOTHY JAMES ULDRICH (NPI# 1679743439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679743439 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY JAMES ULDRICH |
| Credential | P.A. |
| Practice Address |
2315 E Harmony Rd Ste 170 Fort Collins CO 80528-8620 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 9704958450 |
| Mailing Telephone | 9706242404 |
| Mailing Fax Number | 7207180993 |
| Enumeration Date | 2008-03-08 |
| Last Update Date | 2019-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0005255 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
3743 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21803 N Scottsdale Rd, Suite 110, Scottsdale, AZ 852557438 | 4805854673 | 4805854672 |
| Street Address |
2315 E HARMONY RD STE 170 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-8620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847476 | Poudre Valley Medical Group, LLC | Preventive Medicine | 2315 E Harmony Rd Ste 170, Fort Collins, CO 80528-8620 | 2020-07-02 |
| 1487076212 | Eric Hofmann | Physician Assistant | 2315 E Harmony Rd Ste 170, Fort Collins, CO 80528-8620 | 2014-01-14 |
| 1215242417 | Poudre Valley Medical Group, LLC | Preventive Medicine | 2315 E Harmony Rd Ste 170, Fort Collins, CO 80528-8620 | 2010-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244895 | Cheyenne M Zurfluh | Physician Assistant | 1301 Lory St, Fort Collins, CO 80524-4213 | 2020-10-26 |
| 1790382240 | Katherine Kowalk | Physician Assistant | 3108 Bryce Dr, Fort Collins, CO 80525-3119 | 2020-10-07 |
| 1295384766 | Katelyn Feczko | Physician Assistant | 1120 E Elizabeth St Ste 2, Fort Collins, CO 80524-4044 | 2019-09-08 |
| 1750936506 | Stefan Lee | Physician Assistant | 2813 Seccomb St, Fort Collins, CO 80526-6211 | 2019-08-08 |
| 1801372065 | Rachael Mcgaha Miller | Physician Assistant | 837 Columbia Rd, Fort Collins, CO 80525-1837 | 2018-07-11 |
| 1699287953 | Caroline Kelly Tuchowski | Physician Assistant | 2121 E Harmony Rd Unit 360, Fort Collins, CO 80528-3404 | 2017-10-26 |
| 1639543473 | Mh Health Care Services, PC | Physician Assistant | 2310 E Prospect Rd Ste D, C/o Larimer County Employee Health Center, Fort Collins, CO 80525-9770 | 2015-11-17 |
| 1851783435 | Christon Chilen | Physician Assistant | 2950 Brumbaugh Dr, Fort Collins, CO 80526-6231 | 2015-02-19 |
| 1851797104 | Julianna Valdez Taylor | Physician Assistant | 214 N Howes St, Fort Collins, CO 80521-2011 | 2014-11-14 |
| 1356778914 | Reed Mark Soukup | Physician Assistant | 2001 S Shields E101, Fort Collins, CO 80526-1872 | 2013-09-27 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
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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.