MARLA R. ULLOM-MINNICH M.D. – NPI #1073518999
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

MARLA ULLOM-MINNICH is a physician located in MOUNDRIDGE, KS. NPPES has assigned the NPI number 1073518999 to MARLA ULLOM-MINNICH on June 16, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARLA ULLOM-MINNICH below.

NPI Profile for
MARLA R. ULLOM-MINNICH

NPI Number
1073518999
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARLA R. ULLOM-MINNICH
Credentials
M.D.
Primary location
200 EAST PACK
MOUNDRIDGE, KS 67107
Phone: (620) 345-6322 Fax: (620) 345-3038
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for MARLA ULLOM-MINNICH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS/BLUE SHIELDKS049108
OTHERCHILDRENS MERCY FAMILYKS460686
OTHERPREFERRED HEALTH SYSTEMSKS02668
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
KS 0424208

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL) - Graduated 1991
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARLA ULLOM-MINNICH is affiliated with the following medical group(s):
  • HOSPITAL
    • MCPHERSON HOSPITAL
      1000 HOSPITAL DRIVE
      MCPHERSON, KS 67460
    • MERCY HOSPITAL, INC
      218 E PACK STREET
      MOUNDRIDGE, KS 67107
    • NMC HEALTH
      600 MEDICAL CENTER DRIVE
      NEWTON, KS 67114
  • NURSING HOME
    • MOUNDRIDGE MANOR
      710 N CHRISTIAN AVENUE
      MOUNDRIDGE, KS 67107
    • PINE VILLAGE
      86 TWENTY-SECOND AVENUE
      MOUNDRIDGE, KS 67107
  • HOSPICE
    • GOOD SHEPHERD HOSPICE
      7829 E ROCKHILL STE 403
      WICHITA, KS 67206

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