LARS ULISSEY (NPI# 1821087420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821087420 |
| Entity Type | Individual |
| Full Name | LARS ULISSEY |
| Practice Address |
7321 11th St Bldg 569 Hill Afb UT 84056-5012 |
| Mailing Address |
5914 Highland Dr Morgan UT 84050-9758 |
| Practice Telephone | 8017774710 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A81520 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
7321 11TH ST BLDG 569 |
| City | HILL AFB |
| State | UT |
| Zip Code | 84056-5012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447244652 | Tracy Wingert | Nurse Practitioner | 7321 11th St, Hill Afb, UT 84056-5012 | 2005-09-01 |
| 1295999845 | Aspen Claire Heger | Physical Therapist | 7321 11th St, Hill Afb, UT 84056-5012 | 2008-07-14 |
| 1093983900 | Robert John Boulier IIi | Pharmacist | 7321 11th St, Bldg 570, Hill Afb, UT 84056-5012 | 2008-02-13 |
| 1336216860 | Nicholas Cosentino | Pharmacist | 7321 11th St, Building 570, Hill Afb, UT 84056-5012 | 2006-11-29 |
| 1033178678 | Loni Spencer Scott | Physical Therapist | 7321 11th St, Hill Afb, UT 84056-5012 | 2006-03-22 |
| 1508825365 | Richard B Villata | Preventive Medicine | 7321 11th St, Bldg 569, Hill Afb, UT 84056-5012 | 2006-03-21 |
| 1912971441 | 75th Medical Group Sgsb | Military/U.S. Coast Guard Pharmacy | 7321 11th St, Bldg 570, Hill Afb, UT 84056-5012 | 2006-02-13 |
| 1194704767 | Dave H. Thacker | Pediatrics | 7321 11th St, 75 Mdg/sgopc, Hill Afb, UT 84056-5012 | 2006-01-12 |
| 1366432841 | Stephen Gerard Reinhart | Optometrist | 7321 11th St, 75th Medical Group, Hill Afb, UT 84056-5012 | 2005-10-25 |
| 1154310308 | Lee G Beyer | Preventive Medicine | 7321 11th St, 75mdg/sgp, Bldg 569, Hill Afb, UT 84056-5012 | 2005-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629639885 | Brian A Silva | Physician Assistant | 7321 Balmer Street Bldg 570, Hill Air Force Base, UT 84056 | 2019-06-27 |
| 1245767045 | Keith Mele | Pharmacist | 7457 Weiner Street, Hill Air Force Base, UT 84056 | 2017-05-11 |
| 1235513540 | Joshua David Stumpf | Military Health Care Provider | 570 Balmer Street, Hill Afb, UT 84056 | 2015-07-16 |
| 1194107912 | Kelly Johnson | Social Worker | 75 Mdg, Mental Health Clinic, 7309 Balmer Street, Bldg 545, Hill Afb, UT 84056 | 2015-06-29 |
| 1831449156 | Curt G Martin | Dentist | 7321 Balmer, 75 Mdg, Hill Afb, UT 84056 | 2012-09-13 |
| 1811253222 | Tiffany Amber Brakefield | Psychologist | 7309 Balmer St Bldg 545, Hill Afb, UT 84056 | 2012-04-10 |
| 1982910907 | Peter Shigeki Frandsen | Dentist | 7321 Balmer Street Bldg #570, Hill Afb, 75th Mdg/sgd, Hill Afb, UT 84056 | 2010-08-27 |
| 1861625436 | Michael David Brewer | Family Medicine | 7321 Balmer Ave, Hill Afb, UT 84056 | 2009-08-31 |
| 1780838789 | Nisha Ray Baur | Pediatrics | Bldg 569 Hill Afb, Clearfield, UT 84056 | 2008-11-05 |
| 1629230669 | Elizabeth A. Sherlock | Psychologist | 75 Mdg/sghc, 7321 11th Street, Bldg. 570, Hill Afb, UT 84056 | 2008-07-01 |
| Find all providers in zip 84056 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285088930 | Isaac Yourison | General Practice | 7321 Balmer St Bldg 570, Hill Afb, UT 84056-5012 | 2016-04-19 |
| 1205824216 | Geoffrey Leo Ewing | General Practice | 7321 11th St, Bld 569, Hill Afb, UT 84056-5012 | 2005-10-12 |
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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.