Provider Demographics
NPI:1578586269
Name:ULIBARRI, JAMES A (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:ULIBARRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:281 N LYERLY ST STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-2728
Mailing Address - Country:US
Mailing Address - Phone:423-693-2175
Mailing Address - Fax:888-959-1015
Practice Address - Street 1:1333 W 5TH ST STE 113
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-2752
Practice Address - Country:US
Practice Address - Phone:307-675-2633
Practice Address - Fax:307-675-2634
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40941207X00000X, 207XS0117X
WY8186A207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7633780OtherAETNA
TNTN01L4OtherJOHNDEERE HEALTHCARE
TNP00331256OtherRAILROAD MEDICARE
TN4129282OtherBLUECROSS BLUESHIELD
TN4129282OtherBLUECROSS BLUESHIELD
TNP00331256OtherRAILROAD MEDICARE
H51543Medicare UPIN
TN3821034Medicare ID - Type Unspecified