JENNIFER DAWN EBERSOLE (NPI# 1245283951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245283951 |
| Entity Type | Individual |
| Full Name | JENNIFER DAWN EBERSOLE |
| Credential | ARNP |
| Practice Address |
1700 Avenue F Dodge City KS 67801-4541 |
| Mailing Address |
202 W La Mesa Dr Dodge City KS 67801-2838 |
| Practice Telephone | 6202256621 |
| Mailing Telephone | 6202256821 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 15-00388 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1700 AVENUE F |
| City | DODGE CITY |
| State | KS |
| Zip Code | 67801-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720406648 | United Methodist Western Kansas Mexican American Ministries, Inc. | Family Medicine | 1700 Avenue F, Dodge City, KS 67801-4541 | 2014-03-29 |
| 1528254463 | United Methodist Western Kansas Mexican-american Ministries, Inc. | Non-Pharmacy Dispensing Site | 1700 Avenue F, Dodge City, KS 67801-4541 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598294589 | Jeremy L Luthi | Physical Therapist | 2200 Summerlon Circle, Suite D, Dodge City, KS 67801 | 2017-06-05 |
| 1851796635 | Larry Martin | Pharmacist | 1700 N 14th, Dodge City, KS 67801 | 2014-10-23 |
| 1588934038 | Janet R Giefer | Occupational Therapy Assistant | 510 W Frontview, Dodge City, KS 67801 | 2011-12-30 |
| 1982855565 | Sandra M Herder | Nurse Practitioner | 100 Ross Blvd Suite 2a, Dodge City, KS 67801 | 2008-10-01 |
| 1689820300 | Gloria Andrade | Counselor | 207 W Spruce, Dodge City, KS 67801 | 2008-08-13 |
| 1396957213 | F Rodney Copeland | Optometrist | 2405 Central, Dodge City, KS 67801 | 2007-05-04 |
| 1881710879 | Kathleen Joan Warner-long | Counselor | 506 Avenue L, Dodge City, KS 67801 | 2007-03-21 |
| 1396884961 | Kansas Soldiers Home | Skilled Nursing Facility | 201 Custer, Fort Dodge, KS 67801 | 2007-02-06 |
| 1083774954 | Sherron S Mcreynolds | Registered Nurse | 101 Plaza Terrace, Dodge City, KS 67801 | 2006-12-11 |
| 1477621159 | Dodge City Dental Care | Dentist | 2300 N 14th Street, Suite 202, Dodge City, KS 67801 | 2006-12-01 |
| Find all providers in zip 67801 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447380639 | Danny Douglas Briggs Jr. | Physician Assistant | 108 W Ross Blvd, Dodge City, KS 67801-2131 | 2007-03-06 |
| 1497255418 | Kansas Hospitalist Services Pa | Physician Assistant | 3001 Avenue A, Dodge City, KS 67801-2270 | 2018-02-16 |
| 1952526964 | Wes L Young | Physician Assistant | 100 Ross Blvd, B2a, Dodge City, KS 67801 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567783 | Shelby Stewart | Physician Assistant | 1409 Washington Cir, Hays, KS 67601-4716 | 2020-10-27 |
| 1154935724 | Kendra Elizabeth Rogers | Physician Assistant | 8111 Quivira Rd Apt 12106, Lenexa, KS 66215-2772 | 2020-09-01 |
| 1962020024 | Cody Allen Miller | Physician Assistant | 7201 W 80th St Apt 602, Overland Park, KS 66204-3773 | 2020-07-06 |
| 1881210417 | Jordan Rachelle Haya | Physician Assistant | 607 Prairie Ave, Maple Hill, KS 66507-9808 | 2020-06-19 |
| 1881219483 | Sheila Mwadime | Physician Assistant | 10245 Millstone Dr Apt 7110, Lenexa, KS 66220-2711 | 2020-06-10 |
| 1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
| 1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
| 1194348706 | Andrew John Lopata | Physician Assistant | 1315 N Walnut St, Mcpherson, KS 67460-2434 | 2020-05-19 |
| 1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
| 1033731674 | Sydnee Rose Eck | Physician Assistant | 345 Sevy, Andale, KS 67001-4003 | 2020-05-16 |
| Find all providers with the same taxonomy | ||||
| City | DODGE CITY |
| Zip Code | 67801 |
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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.