SUSAN B. ALLEN MEMORIAL HOSPITAL (NPI# 1013439926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013439926 |
| Entity Type | Organization |
| Organization Name | SUSAN B. ALLEN MEMORIAL HOSPITAL |
| Other Organization Name | SBA MEDICAL GROUP |
| Practice Address |
720 W Central Ave El Dorado KS 67042-2112 |
| Practice Telephone | 3163213300 |
| Practice Fax Number | 3163214810 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Authorized Official Name | MR. MARK ROOKER (CIO/COO) |
| Authorized Official Telephone | 3163224544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SBA Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124594957 | Susan B. Allen Memorial Hospital | Emergency Medicine | 700 W Central Ave Ste 103, El Dorado, KS 67042-2187 | 2018-10-19 |
| 1588156574 | Susan B. Allen Memorial Hospital | Clinic/Center | 2710 W Central Ave, El Dorado, KS 67042-3285 | 2018-06-05 |
| 1003338914 | Susan B. Allen Memorial Hospital | Preventive Medicine | 720 W Central Ave Ste 111, El Dorado, KS 67042-2112 | 2017-07-12 |
| 1457766800 | Susan B. Allen Memorial Hospital | Family Medicine | 401 W 7th Ave, Augusta, KS 67010-1309 | 2014-06-24 |
| 1922431329 | Susan B. Allen Memorial Hospital | Orthopaedic Surgery | 700 W Central Ave Ste 108, El Dorado, KS 67042-2187 | 2013-08-21 |
| 1356783286 | Susan B. Allen Memorial Hospital | Otolaryngology | 700 W Central Ave Ste 202, El Dorado, KS 67042-2186 | 2013-07-19 |
| 1285870618 | Susan B. Allen Memorial Hospital | Family Medicine | 700 W Central Ave Ste 204, El Dorado, KS 67042-2186 | 2009-01-07 |
| 1700994977 | Susan B. Allen Memorial Hospital | Pharmacy | 720 W. Central Ave, El Dorado, KS 67042-2144 | 2006-08-28 |
| 1144724667 | Susan B. Allen Memorial Hospital | Audiologist | 700 W Central Ave Ste 202, El Dorado, KS 67042-2186 | 2018-03-20 |
| 1104349067 | Susan B. Allen Memorial Hospital | Hospitalist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2017-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUSAN B. ALLEN MEMORIAL HOSPITAL, THE | 720 W Central Ave, El Dorado, KS 67042-2112 |
| Street Address |
720 W CENTRAL AVE |
| City | EL DORADO |
| State | KS |
| Zip Code | 67042-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018234 | Amber Nichole Dreiling | Nurse Practitioner | 720 W Central Ave, El Dorado, KS 67042-2112 | 2020-09-21 |
| 1336612191 | Ashley M Greer | Nurse Practitioner | 720 W Central Ave, El Dorado, KS 67042-2112 | 2019-01-04 |
| 1609342385 | Air Capital Emergency Services, LLC | Emergency Medicine | 720 W Central Ave, El Dorado, KS 67042-2112 | 2018-10-19 |
| 1639680937 | Jessica N Rollins | Dietitian, Registered | 720 W Central Ave, El Dorado, KS 67042-2112 | 2017-10-13 |
| 1033628300 | Austin Michael Chinberg | Pharmacist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2017-09-29 |
| 1104349067 | Susan B. Allen Memorial Hospital | Hospitalist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2017-07-24 |
| 1730584210 | Judy Shepherd Hawkins | Pharmacist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2014-10-27 |
| 1326448424 | Luanna Thomas | Pharmacist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2014-08-26 |
| 1780818351 | Susan E. King | Pharmacist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2009-05-11 |
| 1154564045 | Paige Hatcher Dodson | Family Medicine | 720 W Central Ave, El Dorado, KS 67042-2112 | 2009-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
| 1902262355 | Lisbeth Leiber | Nurse Practitioner | 1737 Se Hwy 54, El Dorado, KS 67042 | 2016-01-14 |
| 1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
| 1962608893 | South Central Mental Health Counseling Center Inc | Social Worker | 120 S Gordy, 3, El Dorado, KS 67042 | 2007-06-26 |
| 1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
| 1548388598 | Richard Alan Burton | Dentist | 310 Oil Hill Road, El Dorado, KS 67042 | 2007-03-27 |
| 1710002472 | Tender Care Pediatrics Pa | Pediatrics | 700 W. Central Ave, Ste 210, El Dorado, KS 67042 | 2007-03-20 |
| Find all providers in zip 67042 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1992079917 | Kenneth C. Prather, M.d., P.a. | General Practice | 460 W Oak, El Dorado, AR 71730-8525 | 2012-03-08 |
| 1578546131 | James E Seale Jr. | General Practice | 701 W Oak St, El Dorado, AR 71730-5487 | 2005-11-28 |
| 1255771598 | Greg Smart Family Practice | General Practice | 209 Thompson Ave, El Dorado, AR 71730-5755 | 2013-07-01 |
| 1619231966 | Gregory S. Backofen | General Practice | 460 W Oak St, El Dorado, AR 71730-4567 | 2012-07-02 |
| 1164554820 | Susan B. Allen Memorial Hospital | General Practice | 720 W Central Ave, El Dorado, KS 67042-2112 | 2007-03-09 |
| 1821023292 | South Arkansas Physician Services, LLC | General Practice | 714 W Faulkner St, El Dorado, AR 71730-4598 | 2006-07-12 |
| 1023086931 | Kenneth C Prather | General Practice | 700 W Grove St, El Dorado, AR 71730-4416 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437419 | Lewis H. Roht | General Practice | 12512 High Drive, Leawood, KS 66209-1341 | 2020-04-27 |
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1508360405 | Landmark Medical of Kansas Pa | General Practice | 5350 College Blvd Ste 122, Overland Park, KS 66211-1633 | 2018-03-23 |
| 1902342892 | Drsalliance LLC | General Practice | 13968 Santa Fe Trail Dr, Lenexa, KS 66215-3382 | 2017-01-16 |
| 1114470010 | St Catherine Hospital | General Practice | 2051 E Mary St, Garden City, KS 67846-3617 | 2016-07-27 |
| 1245631100 | James Berry | General Practice | 10821 S Whitetail Ln, Olathe, KS 66061-9395 | 2014-09-10 |
| 1427470087 | Chs Health Services, LLC | General Practice | 2000 Nw Us Highway 24, Topeka, KS 66618-1445 | 2014-01-15 |
| 1942556824 | Leland Ray Kaufman | General Practice | 1500 E. 10th, Bldg B/2, Winfield, KS 67156 | 2012-07-30 |
| 1417211665 | James M Stanford | General Practice | 202 S Frisco St, Coldwater, KS 67029-9101 | 2012-07-02 |
| 1639436520 | James Philip Hostetter | General Practice | 3811 Sw Wood Valley Drive, Topeka, KS 66610-1124 | 2012-04-16 |
| Find all providers with the same taxonomy | ||||
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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.