MR. MOHANA K OBILISETTY (NPI# 1346478823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346478823 |
| Entity Type | Individual |
| Full Name | MR. MOHANA K OBILISETTY |
| Credential | M.D. |
| Practice Address |
1905 19th St Great Bend KS 67530-2502 |
| Practice Telephone | 6207925700 |
| Practice Fax Number | 6207925742 |
| Mailing Telephone | 6207925700 |
| Mailing Fax Number | 6207925742 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 24442 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
1905 19TH ST |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014990 | Bradley J Hill | Physician Assistant | 1905 19th St, Great Bend, KS 67530-2502 | 2005-06-24 |
| 1497369318 | Nora Kathleen Nokes | Nurse Practitioner | 1905 19th St, Great Bend, KS 67530-2502 | 2020-09-08 |
| 1427668334 | Le Ann M Petersilie | Social Worker | 1905 19th St, Great Bend, KS 67530-2502 | 2020-08-05 |
| 1679052633 | Jessie M Sloan | Social Worker | 1905 19th St, Great Bend, KS 67530-2502 | 2018-08-10 |
| 1891200952 | Amy Nicole Wetzel | Nurse Practitioner | 1905 19th St, Great Bend, KS 67530-2502 | 2017-12-11 |
| 1821446568 | Arika Fanshier | Nurse Practitioner | 1905 19th St, Great Bend, KS 67530-2502 | 2016-06-02 |
| 1982099685 | Deana J Schwartzkopf | Nurse Practitioner | 1905 19th St, Great Bend, KS 67530-2502 | 2015-03-31 |
| 1053704361 | Jose Luis Renteria | Nurse Practitioner | 1905 19th St, Great Bend, KS 67530-2502 | 2015-03-11 |
| 1942574512 | Amber N Wilder | Counselor | 1905 19th St, Great Bend, KS 67530-2502 | 2012-02-29 |
| 1538462239 | Rita Ann O'gwin | Social Worker | 1905 19th St, Great Bend, KS 67530-2502 | 2010-12-19 |
| 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 | 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 |
|---|---|---|---|---|
| 1184739443 | Heart of Kansas Family Health Care, Inc. | Family Medicine | 1905 19th St., Great Bend, KS 67530 | 2006-08-20 |
| 1215967849 | Gina M Westhoff | Family Medicine | 1309 Polk St., Great Bend, KS 67530 | 2006-07-03 |
| 1124029392 | Perry M Smith | Family Medicine | 1309 Polk St, Great Bend, KS 67530-3618 | 2005-08-09 |
| 1629620406 | Brenda Kay Dinges | Family Medicine | 5815 Broadway Ave, Great Bend, KS 67530-3123 | 2019-07-12 |
| 1821654229 | Ukhs Great Bend, LLC | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-13 |
| 1992272918 | Ukhs Great Bend, LLC | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-10-29 |
| 1124400361 | St Rose Health Center Inc | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2015-06-24 |
| 1891176707 | Jonathan Pike | Family Medicine | 1309 Polk St, Great Bend, KS 67530-3644 | 2015-06-16 |
| 1790180180 | St Rose Health Center Inc | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2014-10-28 |
| 1811234818 | Great Bend Regional Hospital LLC | Family Medicine | 1309 Polk, Great Bend, KS 67530 | 2013-01-10 |
| Find all providers in GREAT BEND | ||||
| 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.