DR. MARK ETHAN VANNORDEN (NPI# 1376595959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376595959 |
| Entity Type | Individual |
| Full Name | DR. MARK ETHAN VANNORDEN |
| Credential | D.O. |
| Practice Address |
200 E 8th St Larned KS 67550-2602 |
| Practice Telephone | 6202856041 |
| Practice Fax Number | 6202856194 |
| Mailing Telephone | 6202856041 |
| Mailing Fax Number | 6202856194 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 0530418 | KS | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
05-30418 | KS | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 05-30418 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE SHIELD | 107025 | 01 |
| KS | 200252510F | 05 | |
| KS | 200252510C | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3515 Broadway Ave, Great Bend, KS 675303633 | 6207938429 | 6207936014 |
| Street Address |
200 E 8TH ST |
| City | LARNED |
| State | KS |
| Zip Code | 67550-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619960697 | Kimbra A Rosenberg | Clinical Nurse Specialist | 200 E 8th St, Larned, KS 67550-2602 | 2005-08-25 |
| 1982718821 | Sandra Ann Dunavan | Nurse Practitioner | 200 E 8th St, Larned, KS 67550-2602 | 2006-08-18 |
| 1538128558 | Rural Medical Services, Inc | Nurse Practitioner | 200 E 8th St, Larned, KS 67550-2602 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427406784 | Amanda Haberman | Specialist/Technologist | 201 E 17th, Larned, KS 67550 | 2016-05-27 |
| 1619155512 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 908 E 14th St., Larned, KS 67550 | 2008-02-04 |
| 1801920699 | Bernadette Novotny | Physical Therapy Assistant | 1114 W 11 St, Learned, KS 67550 | 2007-03-15 |
| 1871699777 | Luis Alberto Perez | Chiropractor | 313 W 14th, Larned, KS 67550 | 2006-09-16 |
| 1245296821 | Smith Dental Clinic LLC | Dentist | 706 Ft Larnel Ave, Larnel, KS 67550 | 2006-04-24 |
| 1730140716 | Terry D Smith | Dentist | 706 Ft Larned Ave, Box 36, Larned, KS 67550 | 2006-03-30 |
| 1396378741 | April Corellia Bradshaw | Nurse Practitioner | 1301 Ks Highway 264, 1301 Ks Highway 264, Larned, KS 67550 | 2020-02-13 |
| 1770115115 | Corinne Janel Wray | Student in an Organized Health Care Education/Training Program | 512 W 1st St, Larned, KS 67550 | 2020-02-04 |
| 1053892059 | Andy Roger Eugene | Psychiatry & Neurology | 1301 Ks Highway 264, Larned, KS 67550 | 2018-08-27 |
| 1467413443 | Trent D Smith | Dentist | 706 Ft Larned Ave, Box 36, Larned, KS 67550 | 2006-03-30 |
| Find all providers in zip 67550 | ||||
| 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 |
|---|---|---|---|---|
| 1073784138 | Trinity Medical Associates | Family Medicine | 1006 Eagle Ct, Larned, KS 67550-8700 | 2008-03-17 |
| 1376577288 | Marcel Lacoste | Family Medicine | Box 89, Rural Route 3, Larned, KS 67550-0089 | 2006-07-10 |
| 1588628663 | Christian A. Whittington | Family Medicine | 713 W 11th, Larned, KS 67550-2429 | 2006-04-14 |
| 1952335853 | Jose Eyma | Family Medicine | 1301 Ks Hwy 264, Larned, KS 67550-9365 | 2006-07-10 |
| 1396797759 | M Crystal Hill | Family Medicine | 713 W 11th St, Larned, KS 67550-2055 | 2006-05-16 |
| 1306896972 | David W Sanger | Family Medicine | 713 W 11th St, Larned, KS 67550-2055 | 2006-05-12 |
| 1326098914 | St. Joseph Memorial Hospital, Inc. | Family Medicine | 713 W 11th St, Larned, KS 67550-2055 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370892 | River City Osteopathic Clinic | Family Medicine | 401 E 1st St, Wichita, KS 67202-2501 | 2020-09-14 |
| 1396357166 | Spira Care, LLC | Family Medicine | 7341 W 133rd St, Overland Park, KS 66213-4750 | 2020-08-21 |
| 1902428840 | County of Logan | Family Medicine | 1001 Highway 40 Ste 4, Oakley, KS 67748-6061 | 2020-05-14 |
| 1285253492 | Lawrence Physicians LLC | Family Medicine | 3211 S Iowa St Ste 100, Lawrence, KS 66046-5205 | 2020-04-09 |
| 1164052973 | Theory Health Kansas LLC | Family Medicine | 10000 Marshall Dr, Lenexa, KS 66215-1244 | 2020-01-21 |
| 1477108603 | Laurie Irene Haury | Family Medicine | 818 N Emporia St Ste 107, Wichita, KS 67214-3725 | 2019-08-05 |
| 1477107878 | Lawrence Physicians LLC | Family Medicine | 2001 Haskell Ave Ste A, Lawrence, KS 66046-3249 | 2019-07-25 |
| 1104484773 | Lawrence Physicians LLC | Family Medicine | 1130 W 4th St Ste 1015, Lawrence, KS 66044-1328 | 2019-05-30 |
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1043794373 | Rajwinder Kaur | Family Medicine | 540 E Santa Fe St Ste E, Olathe, KS 66061-3400 | 2018-09-22 |
| 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.