AUBREY SHEA RALSTON (NPI# 1053706655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053706655 |
| Entity Type | Individual |
| Full Name | AUBREY SHEA RALSTON |
| Credential | M.D. |
| Practice Address |
700 W Central Ave Ste 205 El Dorado KS 67042 |
| Mailing Address |
700 W Central Ave Ste 205 El Dorado KS 67042-2186 |
| Practice Telephone | 3163212010 |
| Practice Fax Number | 3163218871 |
| Mailing Telephone | 3163212010 |
| Mailing Fax Number | 3163218871 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 04-41288 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201210480A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1125 N College Ave, Fayetteville, AR 727031908 | 4797138000 | 4794447820 |
| Street Address |
700 W CENTRAL AVE STE 205 |
| City | EL DORADO |
| State | KS |
| Zip Code | 67042 |
| 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 |
| 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 |
| 1184753220 | Flinthills Services, Inc. | Home Health | 2375 W. Central, El Dorado, KS 67042 | 2007-03-05 |
| Find all providers in zip 67042 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1013439926 | Susan B. Allen Memorial Hospital | General Practice | 720 W Central Ave, El Dorado, KS 67042-2112 | 2017-07-12 |
| 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.