Provider Demographics
NPI:1639177074
Name:ULATOWSKI, ARTHUR STEVEN (DO)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:STEVEN
Last Name:ULATOWSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6525 POWERS BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5461
Mailing Address - Country:US
Mailing Address - Phone:440-882-0075
Mailing Address - Fax:440-882-0080
Practice Address - Street 1:6525 POWERS BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5461
Practice Address - Country:US
Practice Address - Phone:440-882-0075
Practice Address - Fax:440-882-0080
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5659207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00437999OtherRAIL ROAD MEDICARE#
OH000000531123OtherANTHEM BC/BS
OH2010719Medicaid
OHG58820Medicare UPIN
OH2010719Medicaid
OHP00437999OtherRAIL ROAD MEDICARE#
OHUL0833963Medicare PIN
OHUL0833964Medicare PIN