OTTAWA FAMILY PHYSICIANS, CHARTERED


Address: 120 E 19th St Ste A, Ottawa, KS 66067-4300
Phone: 7852144903

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).

Provider Overview

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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
OTTAWA CARE CLINIC Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 120 E 19TH ST STE A
City OTTAWA
State KS
Zip Code 66067-4300

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City OTTAWA
Zip Code 66067

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Dataset Information

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.

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