PREMIER OB-GYN LLC (NPI# 1184098212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184098212 |
| Entity Type | Organization |
| Organization Name | PREMIER OB-GYN LLC |
| Practice Address |
514 Cleveland St Great Bend KS 67530-3562 |
| Practice Telephone | 6207922151 |
| Practice Fax Number | 6207939399 |
| Mailing Telephone | 6207922151 |
| Mailing Fax Number | 6207939399 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |
| Authorized Official Name | JODI L HENRIKSON (PHYSICIAN) |
| Authorized Official Telephone | 6207922151 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 04-30709 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
514 CLEVELAND ST |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-3562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699740407 | Heartland Regional Obgyn, Pa | Obstetrics & Gynecology | 514 Cleveland St, Great Bend, KS 67530-3562 | 2006-02-23 |
| 1194336065 | Hannah Linenberger | Nurse Practitioner | 514 Cleveland St, Great Bend, KS 67530-3562 | 2020-08-13 |
| 1164074076 | Peter Mick | Nurse Practitioner | 514 Cleveland St, Great Bend, KS 67530-3562 | 2019-07-10 |
| 1962997197 | Ukhs Great Bend, LLC | Clinic/Center | 514 Cleveland St, Great Bend, KS 67530-3562 | 2018-06-29 |
| 1245720168 | Ukhs Great Bend, LLC | Clinic/Center | 514 Cleveland St, Great Bend, KS 67530-3562 | 2018-05-16 |
| 1669962593 | Ukhs Great Bend, LLC | General Acute Care Hospital | 514 Cleveland St, Great Bend, KS 67530 | 2018-05-16 |
| 1548750417 | Ukhs Great Bend, LLC | General Acute Care Hospital | 514 Cleveland St, Great Bend, KS 67530 | 2018-05-15 |
| 1962933648 | Hayley Noel Zink | Nurse Practitioner | 514 Cleveland St, Great Bend, KS 67530-3562 | 2017-03-23 |
| 1306229414 | Great Bend Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 514 Cleveland St, Great Bend, KS 67530-3562 | 2015-07-07 |
| 1609200088 | Ashley Rae Vonada | Physician Assistant | 514 Cleveland St, Great Bend, KS 67530-3562 | 2013-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1265895908 | Kayti Trapp | Physical Therapy Assistant | 1514 Ks-96 Hwy, Great Bend, KS 67530 | 2016-03-31 |
| 1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
| 1912060435 | Larry G Kutina | Dentist | 3820 6th Street, Great Bend, KS 67530 | 2006-12-18 |
| 1144308883 | Hcc-healthcare of Great Bend, LLC | Skilled Nursing Facility | 1560 K96 Highway, Great Bend, KS 67530 | 2006-11-01 |
| 1841370699 | Edward Lake Jones | Pathology | 2001 Lincoln, Great Bend, KS 67530 | 2006-10-16 |
| 1407955529 | William G Hafner | Chiropractor | 1309 Williams St., Great Bend, KS 67530 | 2006-09-22 |
| Find all providers in zip 67530 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821063652 | Jodi Lane Henrikson | Obstetrics & Gynecology | 3421 Forest Ave, Great Bend, KS 67530-3605 | 2006-02-23 |
| 1699740407 | Heartland Regional Obgyn, Pa | Obstetrics & Gynecology | 514 Cleveland St, Great Bend, KS 67530-3562 | 2006-02-23 |
| 1508892886 | Maxine A Lingurar | Obstetrics & Gynecology | 3515 Broadway Ave, Ste 121, Great Bend, KS 67530-3633 | 2006-06-25 |
| 1558336362 | Roger Wayne Marshall | Obstetrics & Gynecology | 514 Cleveland St, Great Bend, KS 67530-3562 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598115032 | Emily Mitchell Clark | Obstetrics & Gynecology | 9301 W 74th St Ste 325, Shawnee Mission, KS 66204-2281 | 2016-06-15 |
| 1083071336 | Jimmie Gleason | Obstetrics & Gynecology | 1010 Sw Exmoor Ln, Topeka, KS 66604-1977 | 2016-01-18 |
| 1134509243 | Milburn Wheatley Hobson | Obstetrics & Gynecology | Residence 5467 W. 85 Ter., Prairie Village, KS 66207 | 2015-06-03 |
| 1538546759 | Rebecca Hamel | Obstetrics & Gynecology | 1001 6th Ave Ste 230, Leavenworth, KS 66048-3248 | 2015-04-27 |
| 1306233218 | Donald Miller Jr. | Obstetrics & Gynecology | 13874 W 58th Pl, Shawnee, KS 66216-5400 | 2015-04-17 |
| 1134511280 | Francis Gary Lockwood | Obstetrics & Gynecology | 6421 West 92nd Street, Overland Park, KS 66212-1373 | 2015-02-26 |
| 1205241171 | Natalie Davis | Obstetrics & Gynecology | 501 S Santa Fe Ave Ste 140, Salina, KS 67401-4189 | 2014-06-30 |
| 1346678893 | Legends Obgyn LLC | Obstetrics & Gynecology | 8919 Parallel Pkwy Ste 403, Kansas City, KS 66112-1655 | 2013-10-18 |
| 1023441797 | Larry D Vande Garde | Obstetrics & Gynecology | 3461 Sw Macvicar Ave, Topeka, KS 66611-1839 | 2013-08-16 |
| 1831532167 | Jenna Kennedy Sloan | Obstetrics & Gynecology | 2214 Canterbury Dr Ste 210, Hays, KS 67601-2375 | 2013-04-17 |
| Find all providers with the same taxonomy | ||||
| City | GREAT BEND |
| Zip Code | 67530 |
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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.