OTTAWA FAMILY PHYSICIANS, CHARTERED (NPI# 1023558541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023558541 |
Entity Type | Organization |
Organization Name | OTTAWA FAMILY PHYSICIANS, CHARTERED |
Other Organization Name | OTTAWA CARE CLINIC |
Practice Address |
120 E 19th St Ste A Ottawa KS 66067-4300 |
Mailing Address |
1418 S Main St Ste 5 Ottawa KS 66067-3543 |
Practice Telephone | 7852144903 |
Practice Fax Number | 7852144622 |
Mailing Telephone | 7852421620 |
Mailing Fax Number | 7852425061 |
Enumeration Date | 2017-03-02 |
Last Update Date | 2018-10-15 |
Authorized Official Name | DENISE LYNN MCPHERON (ADMINISTRATOR) |
Authorized Official Telephone | 7852421620 |
Is Organization Subpart | Y |
Parent Organization Name | OTTAWA FAMILY PHYSICIANS, CHTD. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
OTTAWA CARE CLINIC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477598837 | Ottawa Family Physicians, Chartered | Clinic/Center | 1418 S Main St, Suite 5, Ottawa, KS 66067-3543 | 2006-06-19 |
Street Address |
120 E 19TH ST STE A |
City | OTTAWA |
State | KS |
Zip Code | 66067-4300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407482870 | Katie Jean Turpin | Occupational Therapist | 3901 S Main St, Ottawa, KS 66067 | 2020-03-18 |
1619526464 | Jennifer Raybern | Specialist/Technologist | 1001 S Cedar St, Ottawa, KS 66067 | 2019-09-04 |
1508419938 | Custom Dental of Ottawa, Pa | Clinic/Center | 2030 S Princeton St, Ottawa, KS 66067 | 2019-07-24 |
1861948507 | Jeffrey Byrne Kelley | Pharmacist | 2101 S Princeton Rd, Ottawa, KS 66067 | 2016-09-01 |
1619185188 | Vintage Park At Ottawa LLC | Assisted Living Facility | 2250 S Elm St, Ottawa, KS 66067 | 2007-05-18 |
1356423495 | Ottawa Oral Surgery Lc | Dentist | 107 E 23rd St, Ste 3 Ottawa Oral Surgery Lc, Ottawa, KS 66067 | 2006-10-19 |
1669564332 | Sandra K Staneart | Nurse Practitioner | 1302 South Main St, Suite 1, Ottawa, KS 66067 | 2006-09-29 |
1467553214 | Nancy L Pauw | Social Worker | 2476 Reno Rd, Ottawa, KS 66067 | 2006-09-26 |
1700847043 | T.a. Rainbolt, Dds, P.a. | Dentist | 1334 S. Main Street, Ottawa, KS 66067 | 2006-03-28 |
1659341634 | Milton Laverne Sampson | Nurse Anesthetist, Certified Registered | 1301 S Main, Ottawa, KS 66067 | 2006-01-24 |
Find all providers in zip 66067 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | 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. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922487958 | German Gonzalo | Family Medicine | 30 Oaklane Dr, Ottawa, IL 61350-1135 | 2015-05-22 |
1376775205 | Melchor Paulo A Aranas | Family Medicine | 1306 Gemini Cir Ste 1, Ottawa, IL 61350-1695 | 2009-08-11 |
1992954226 | Amit Garg Ltd. | Family Medicine | 1232 Edna Cir, Ottawa, IL 61350-9143 | 2008-09-10 |
1174785133 | Katelyn Ann Leopold | Family Medicine | 1740 N Perry St Ste A, Ottawa, OH 45875-1173 | 2008-06-30 |
1689841900 | Jennifer R Maag | Family Medicine | 102 Putnam Pkwy, Ottawa, OH 45875-8657 | 2008-05-15 |
1548486251 | Cristine Lorraine Goodwin | Family Medicine | 1428 S Main St Ste 4, Ottawa, KS 66067-3547 | 2007-04-18 |
1255448460 | Ushasri Koganti Mdsc | Family Medicine | 1129 Columbus St, Ottawa, IL 61350 | 2006-08-24 |
1326094673 | Victoria E Manfredi | Family Medicine | Access Medical Center, 2525 Carling Avenue, Ottawa, ON K2B7Z2 | 2006-05-26 |
1538118559 | Jeffrey S Eiden | Family Medicine | 1740 N Perry St, Suite A, Ottawa, OH 45875-1173 | 2006-05-08 |
1760449938 | Adeyemi Oludare Fatoki | Family Medicine | 315 E Mckinley Rd, Ottawa, IL 61350-4805 | 2006-04-28 |
Find all providers in OTTAWA |
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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.