Provider Demographics
NPI:1194966390
Name:ULMER FAMILY MEDICINE PC
Entity type:Organization
Organization Name:ULMER FAMILY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ULMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-481-6476
Mailing Address - Street 1:2000 MEDICAL PKWY
Mailing Address - Street 2:SUITE 605
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3280
Mailing Address - Country:US
Mailing Address - Phone:443-481-6476
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:2000 MEDICAL PKWY
Practice Address - Street 2:SUITE 605
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3280
Practice Address - Country:US
Practice Address - Phone:443-481-6476
Practice Address - Fax:443-481-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DD46EAOtherBCBS MD
6921559OtherAETNA HMO
Q621OtherBCBS DC
9035350OtherAETNA PPO
Q621OtherBCBS DC