Individual provider Active NPI

Marcus E Ueltschey, MD

  • Family Medicine Physician
  • Saltillo, MS
National Provider Identifier
1447278528
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17553 Issued in MS
Practice address
125 Turner Park Dr
Saltillo, MS 38866-9214
Phone
(662) 869-2122
Fax
(662) 869-1367
NPI assigned
Jul 17, 2006
Last updated
Apr 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17553 MS Primary

Addresses

Primary practice location

125 Turner Park Dr
Saltillo, MS 38866-9214

Mailing address

125 Turner Park Dr
P. O. Box 1389
Saltillo, MS 38866-9214
Phone (662) 869-2122

Other identifiers 8

IdentifierTypeStateIssuer
09015894MedicaidMS
00125653MedicaidMS
7813397OtherMSAETNA
1785601MedicaidLA
5153241OtherMSP JONES AETNA
3191589OtherMSP JONES CIGNA
425198310AOtherMSP JONES BLUE CROSS
00015920MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20120511000301 MS Practitioner - Family Practice 2365605276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3411 W Main St
Tupelo, MS 38801-9413
Phone (662) 844-9376

4579 S Eason Blvd
Tupelo, MS 38801-6539

845 S Madison
Tupelo, MS 38801-4905
Phone (601) 790-5025

860 S Madison St
Tupelo, MS 38801-4905
Phone (662) 377-7150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions26
Removal of nail tissue1-10
Skin biopsy20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17553MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Family Medicine CurrentSince May 1, 2012 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince May 1, 2012 Accepting new patients
North Mississippi Medical Center CurrentSince Sep 1, 2014 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Sep 1, 2014 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Jones Family Medical Clinic, PLLC Family Medicine Past Accepting new patients

Locations

125 Turner Park Dr
Saltillo, MS 38866
Phone (662) 869-2122

4579 S Eason Blvd
Tupelo, MS 38801
Phone (662) 377-3161

4579 S Eason Blvd
Ste Ef
Tupelo, MS 38801
Phone (662) 377-7590

844 S Madison St
Tupelo, MS 38801
Phone (662) 377-5400

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

903 Mississippi Dr
Tupelo, MS 38804
Phone (662) 377-4652

Interoperability endpoints

  • Direct secure messaging: marcusueltschey@nmhs.medalliesdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1447278528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TURNER PARK DR",
            "address_2": "P. O. BOX 1389",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388669214",
            "telephone_number": "662-869-2122",
            "fax_number": "662-869-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TURNER PARK DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388669214",
            "telephone_number": "662-869-2122",
            "fax_number": "662-869-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UELTSCHEY",
        "first_name": "MARCUS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "17553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015894",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125653",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7813397",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1785601",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P JONES AETNA",
            "identifier": "5153241",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P JONES CIGNA",
            "identifier": "3191589",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P JONES BLUE CROSS",
            "identifier": "425198310A",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015920",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saltillo, MS

Sources for this page

Verify at the official NPI Registry.