MR. RAFAEL MAURICIO BARACALDO VILLALBA (NPI# 1013151968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013151968 |
| Entity Type | Individual |
| Full Name | MR. RAFAEL MAURICIO BARACALDO VILLALBA |
| Credential | M.D. |
| Practice Address |
401 E Spruce St Garden City KS 67846-5679 |
| Mailing Address |
2313 N Yosemite Pkwy Garden City KS 67846-3864 |
| Practice Telephone | 6202713139 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2015-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
04-37029 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
401 E SPRUCE ST |
| City | GARDEN CITY |
| State | KS |
| Zip Code | 67846-5679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529184 | John T Ferrell | Internal Medicine | 401 E Spruce St, Garden City, KS 67846 | 2005-06-23 |
| 1215547328 | St. Catherine Hospital | Internal Medicine | 401 E Spruce St, Garden City, KS 67846-5679 | 2020-08-04 |
| 1306456405 | St. Catherine Hospital | Hospitalist | 401 E Spruce St, Garden City, KS 67846-5679 | 2020-08-04 |
| 1316557614 | St. Catherine Hospital | Radiology | 401 E Spruce St, Garden City, KS 67846-5679 | 2020-08-03 |
| 1043820343 | St. Catherine Hospital | Pain Medicine | 401 E Spruce St, Garden City, KS 67846-5679 | 2020-08-03 |
| 1821608118 | St. Catherine Hospital | Internal Medicine | 401 E Spruce St, Garden City, KS 67846-5679 | 2020-08-03 |
| 1760018253 | Usacs of Colorado Inc | Emergency Medicine | 401 E Spruce St, Garden City, KS 67846-5679 | 2020-03-17 |
| 1316571714 | Jennifer Ann Payne | Registered Nurse | 401 E Spruce St, Garden City, KS 67846-5679 | 2020-02-25 |
| 1881231140 | Olivia Christine Poplin | Nurse Practitioner | 401 E Spruce St, Garden City, KS 67846-5679 | 2019-12-05 |
| 1750932091 | Patricia Adrea Kanhai | Nurse Practitioner | 401 E Spruce St, Garden City, KS 67846-5679 | 2019-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619036 | Kayla Thackery | Speech-Language Pathologist | 2735 N Jennie Barker Rd, Garden City, KS 67846 | 2019-10-07 |
| 1477049732 | Sarah Lemmons | Specialist/Technologist | 801 Campus Dr, Athletic Department, Garden City, KS 67846 | 2018-07-10 |
| 1720571813 | Keith Earnest Venjohn | Pharmacist | 3101 East Kansas Ave, Garden City, KS 67846 | 2018-06-13 |
| 1457879017 | Jami Rae Weaver-warren | Nurse Practitioner | 302 N. Fleming Street Suite 2, Garden City, KS 67846 | 2017-09-05 |
| 1659812279 | Cynthia Brungardt | Pharmacist | 2424 N. Taylor Avenuee, Garden City, KS 67846 | 2017-03-15 |
| 1982145595 | Garden City Sr Operatons LLC | Custodial Care Facility | 2002 Labrador Boulevard, Garden City, KS 67846 | 2017-03-15 |
| 1255717559 | United Methodist Mexican American Ministries | Community/Behavioral Health | 122 W. Laurel Street, Garden City, KS 67846 | 2015-08-10 |
| 1447668629 | Zulema Salazar | Registered Nurse | 712 St. John St., Garden City, KS 67846 | 2014-07-31 |
| 1710210943 | Garden Valley Retirement Village, LLC | Skilled Nursing Facility | 1505 East Spruce Street, Garden City, KS 67846 | 2009-09-04 |
| 1720231848 | Vollertsen Family Dentistry | Health Maintenance Organization | 1402 1/2 Kansas Ave., Garden City, KS 67846 | 2008-11-03 |
| Find all providers in zip 67846 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440439 | Nephrocare Dialysis, LLC | Internal Medicine | Garden City Hosptial, 6245 Inkster Road, Garden City, MI 48135 | 2020-02-25 |
| 1881255370 | Marc J Yunis Md PC | Internal Medicine | 1100 Stewart Ave Ste 2, Garden City, NY 11530-4839 | 2019-06-25 |
| 1487068326 | Michael Babigumira | Internal Medicine | 401 E Spruce Street, Garden City, KS 67846-1121 | 2014-06-18 |
| 1811507122 | St. Catherine Hospital | Internal Medicine | 311 E Spruce St, Garden City, KS 67846-5614 | 2020-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427509751 | Medicine and Nephrology Clinic LLC | Internal Medicine | 700 W Central Ave Ste 206, El Dorado, KS 67042-2186 | 2016-10-21 |
| 1558510172 | Munis Azim Mattu | Internal Medicine | Kumc Division of Nephrology, 3901 Rainbow Blvd, Ms 3018, Kansas City, KS 66160-0001 | 2008-09-18 |
| 1043404940 | Pierre J Souraty | Internal Medicine | 1035 North Emporia, Suite 105, Wichita, KS 67214-2998 | 2007-09-04 |
| 1306966965 | Matthew Todd Reed | Internal Medicine | 1035 N Emporia St Ste 105, Wichita, KS 67214-2943 | 2007-03-29 |
| 1275692295 | Richard A Schumacher | Internal Medicine | 1295 E 151st St, Suite 7, Olathe, KS 66062-3427 | 2006-12-06 |
| 1497712491 | Dennis Charles Artzer | Internal Medicine | 631 Sw Horne, Suite 420, Topeka, KS 66606 | 2006-04-26 |
| 1548235575 | Paula S Pond | Internal Medicine | 1035 North Emporia, Suite 105, Wichita, KS 67214-2998 | 2006-02-22 |
| 1497734891 | Aisha Shaikh | Internal Medicine | 818 N Emporia St Ste 310, Wichita, KS 67214-3727 | 2006-01-13 |
| 1598769549 | Michael B Lambert | Internal Medicine | 6850 Hilltop Rd, Ste 100, Shawnee, KS 66226-3532 | 2005-06-08 |
| 1457960932 | St. Catherine Hospital | Internal Medicine | 2020 Central Ave, Dodge City, KS 67801-6411 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN CITY |
| Zip Code | 67846 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.