Jon Scott Uloth, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01041620 Issued in IN

Practice address

3711 Casey Rd
Newburgh, IN 47630-8343

Phone

(812) 490-1122

Fax

(812) 490-1123

NPI assigned

Dec 9, 2005

Last updated

Aug 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juloth25485@direct.deaconess.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deaconess Clinic Inc.

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1619123585
  Medicare reassignment NPD
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310

  Family Medicine

  NPD
• Deaconess Clinic, Inc.

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1437639119
  NPD
• Carol Ann Goodman MD LLC

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1366747347
  NPD (past)
• Deaconess Clinic, Inc

  • Clinic/Center
  • Newburgh, IN
  • NPI 1326541673
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1073598330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-435-0977",
            "fax_number": "812-450-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 CASEY RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308343",
            "telephone_number": "812-490-1122",
            "fax_number": "812-490-1123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Sweetser Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477132831",
            "country_code": "US",
            "telephone_number": "812-435-0977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Lodge Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477144261",
            "country_code": "US",
            "telephone_number": "812-435-0977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Starlite Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424206102",
            "country_code": "US",
            "telephone_number": "270-215-3150",
            "fax_number": "812-858-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 N Fulton Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477102842",
            "country_code": "US",
            "telephone_number": "812-435-0977",
            "fax_number": "812-435-8856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULOTH",
        "first_name": "JON",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "51751",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01041620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100331740A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zareena Turner, RBT
• Tessie A Turpen, MA CCC-SLP
• Shaun P Tymchak, D.C.
• Nicole Ubelhor, MSOT, OTR
• Martha Jane Uhl, P.T.
• Sandra Underwood, RBT
• Gifty E Uthup, AUD
• Dkaisha Vance, RBT
• Kathy L Vandergriff, SLP
• Madison Marie Vandergriff, MS, CF-SLP

• Family Medicine Physician in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.