KATHLEEN M. SANDNESS (NPI# 1124118005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124118005 |
Entity Type | Individual |
Full Name | KATHLEEN M. SANDNESS |
Credential | M.D. |
Practice Address |
1701 South Broadway Pittsburg KS 66762 |
Mailing Address |
P.o. Box 1948 Pittsburg KS 66762 |
Practice Telephone | 6202354452 |
Practice Fax Number | 6202356135 |
Mailing Telephone | 6202354452 |
Mailing Fax Number | 6202356135 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2016-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 04-22837 | KS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | BCBS | 020548 | 01 |
KS | 100124880A | 05 | |
KS | MEDICARE | 020548 | 01 |
KS | RR MEDICARE | 110072703 | 01 |
KS | COVENTRY | 16010 | 01 |
Street Address |
1701 SOUTH BROADWAY |
City | PITTSBURG |
State | KS |
Zip Code | 66762 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
Find all providers in zip 66762 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710273388 | Psu Student Health Center | Internal Medicine | 1801 S Broadway St, Pittsburg, KS 66762 | 2011-06-22 |
1114228715 | Sung Ha Ryoo M D Inc | Internal Medicine | 2250 Gladstone Dr Ste 1, Pittsburg, CA 94565-5124 | 2010-11-12 |
1093855421 | Donald M Holsinger | Internal Medicine | 1801 S Joplin, Student Health Services, Pittsburg, KS 66762 | 2007-02-07 |
1992867576 | Los Medanos Medical Group, Inc. | Internal Medicine | 3006 Railroad Ave, Pittsburg, CA 94565-5202 | 2006-12-14 |
1457446791 | John D Taylor | Internal Medicine | 1018 Ohio St, Pittsburg, KS 66762-6437 | 2006-10-03 |
1184736498 | Mark D Carlson | Internal Medicine | 2401 S Tucker Ave Ste 1, Pittsburg, KS 66762-6619 | 2006-08-31 |
1851307219 | Pacita R Aducayen | Internal Medicine | 2250 Gladstone Dr Ste 2, Pittsburg, CA 94565-5124 | 2006-07-31 |
1295768257 | Norman W Krouskop Jr. | Internal Medicine | 4710 State Highway 11 W, Pittsburg, TX 75686-8042 | 2006-07-09 |
1275512774 | Gregory Scott Zarcone | Internal Medicine | 2701 Us Highway 271 N, Pittsburg, TX 75686-4289 | 2006-01-12 |
1215939780 | William Robert Christensen | Internal Medicine | 2701 Hwy 271 North, Pittsburg, TX 75686-1032 | 2005-08-13 |
Find all providers in PITTSBURG |
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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.