PHEASANT RIDGE FAMILY MEDICINE, LLC (NPI# 1023653789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023653789 |
| Entity Type | Organization |
| Organization Name | PHEASANT RIDGE FAMILY MEDICINE, LLC |
| Practice Address |
312 S Maple St Garnett KS 66032-1333 |
| Practice Telephone | 7857875050 |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2019-11-16 |
| Authorized Official Name | ROSS KIMBALL (PHYSICIAN) |
| Authorized Official Telephone | 7857875050 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
312 S MAPLE ST |
| City | GARNETT |
| State | KS |
| Zip Code | 66032-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700838570 | David V Henderson | Family Medicine | 312 S Maple St, Garnett, KS 66032 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215463427 | Sandra L. Otipoby Dds | Dentist | 121 West 6th Ave, Garnett, KS 66032 | 2017-05-08 |
| 1144606930 | Miranda Naylor | Pharmacist | 429 North Maple, Garnett, KS 66032 | 2015-08-04 |
| 1538293816 | Lighting Creek Investment Group Inc | Assisted Living Facility | 806 W 4th, Guest Home Estates Vii, Garnett, KS 66032 | 2007-03-16 |
| 1568557908 | William Harold Wiggans | Dentist | 240 West 4th Avenue, Garnett, KS 66032 | 2006-10-03 |
| 1780674440 | Kevin Martin Rycheck | Pharmacist | 427 S Oak St, Garnett, KS 66032-0366 | 2005-10-25 |
| 1073612925 | Lynn A Wilson | Chiropractor | 414 W 1st Ave, Garnett, KS 66032-1004 | 2006-09-21 |
| 1568674448 | Wilson Chiropractic Clinic | Chiropractor | 414 W 1st Ave, Garnett, KS 66032-1004 | 2007-05-04 |
| 1548328016 | Howard F Wilson | Chiropractor | 414 W 1st Ave, Garnett, KS 66032-1004 | 2006-12-05 |
| 1477537751 | Regional Healthcare LLC | Durable Medical Equipment & Medical Supplies | 115 S Maple St, Garnett, KS 66032-1014 | 2005-12-01 |
| 1922469618 | Anderson County Mental Health | Counselor | 200 S Maple St, Garnett, KS 66032-1017 | 2016-03-09 |
| Find all providers in zip 66032 | ||||
| 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 |
|---|---|---|---|---|
| 1073531174 | Saint Lukes Hospital of Garnett Inc | Family Medicine | 421 S Maple St # 309, Garnett, KS 66032-1334 | 2006-07-17 |
| 1700838570 | David V Henderson | Family Medicine | 312 S Maple St, Garnett, KS 66032 | 2006-05-17 |
| 1336590108 | Robert Reifort Wiggin | Family Medicine | 536 W 4th Ave, Garnett, KS 66032-1355 | 2016-06-23 |
| 1194023010 | Jennifer Dale Bulcock | Family Medicine | 536 W 4th Ave, Garnett, KS 66032-1355 | 2011-03-01 |
| 1821319088 | Janell Jones | Family Medicine | 536 W. 4th Avenue, Garnett, KS 66032-1355 | 2010-06-22 |
| 1982876512 | Ross M Kimball | Family Medicine | 536 W 4th Ave, Garnett, KS 66032-1355 | 2008-03-24 |
| 1073538872 | Wendy Marie Belcher | Family Medicine | 536 W 4th Ave, Garnett, KS 66032-1355 | 2006-07-13 |
| 1336174556 | Mackenzie Peterson | Family Medicine | 536 W 4th Ave, Garnett, KS 66032-1355 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370892 | River City Osteopathic Clinic | Family Medicine | 401 E 1st St, Wichita, KS 67202-2501 | 2020-09-14 |
| 1396357166 | Spira Care, LLC | Family Medicine | 7341 W 133rd St, Overland Park, KS 66213-4750 | 2020-08-21 |
| 1902428840 | County of Logan | Family Medicine | 1001 Highway 40 Ste 4, Oakley, KS 67748-6061 | 2020-05-14 |
| 1285253492 | Lawrence Physicians LLC | Family Medicine | 3211 S Iowa St Ste 100, Lawrence, KS 66046-5205 | 2020-04-09 |
| 1164052973 | Theory Health Kansas LLC | Family Medicine | 10000 Marshall Dr, Lenexa, KS 66215-1244 | 2020-01-21 |
| 1477108603 | Laurie Irene Haury | Family Medicine | 818 N Emporia St Ste 107, Wichita, KS 67214-3725 | 2019-08-05 |
| 1477107878 | Lawrence Physicians LLC | Family Medicine | 2001 Haskell Ave Ste A, Lawrence, KS 66046-3249 | 2019-07-25 |
| 1104484773 | Lawrence Physicians LLC | Family Medicine | 1130 W 4th St Ste 1015, Lawrence, KS 66044-1328 | 2019-05-30 |
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1043794373 | Rajwinder Kaur | Family Medicine | 540 E Santa Fe St Ste E, Olathe, KS 66061-3400 | 2018-09-22 |
| 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.