KANSAS MEDICAL CENTER, LLC (NPI# 1407304256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407304256 |
| Entity Type | Organization |
| Organization Name | KANSAS MEDICAL CENTER, LLC |
| Other Organization Name | KMC PHYSICIANS PART A |
| Practice Address |
1124 W 21st St Andover KS 67002-5500 |
| Practice Telephone | 3163004000 |
| Practice Fax Number | 3163004040 |
| Mailing Telephone | 3163004000 |
| Mailing Fax Number | 3163004040 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |
| Authorized Official Name | MR. DARYL THORNTON (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3163004000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H-008-003 | KS | Hospitals |
| Other Name | Type Code |
|---|---|
| KMC Physicians Part A | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801007786 | Kansas Medical Center, LLC | Family Medicine | 1124 W. 21st St, Andover, KS 67002 | 2007-05-24 |
| 1407237381 | Kansas Medical Center, LLC | Family Medicine | 1410 N Woodlawn Blvd, Derby, KS 67037-2953 | 2015-06-16 |
| 1952585341 | Kansas Medical Center, LLC | Internal Medicine | 1124 W 21st St, Andover, KS 67002-5500 | 2007-12-21 |
| 1952512832 | Kansas Medical Center, LLC | Anesthesiology | 1124 W. 21st St, Andover, KS 67002 | 2007-05-24 |
| Street Address |
1124 W 21ST ST |
| City | ANDOVER |
| State | KS |
| Zip Code | 67002-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215988282 | Jason Wayne Rundell-little | Family Medicine | 1124 W 21st St, Andover, KS 67002-5500 | 2006-05-15 |
| 1083237283 | Cody Glick | Physical Therapist | 1124 W 21st St, Andover, KS 67002-5500 | 2020-05-21 |
| 1164907408 | Jeff Andrew Carpenter | Nurse Anesthetist, Certified Registered | 1124 W 21st St, Andover, KS 67002-5500 | 2018-10-02 |
| 1992066864 | Justin Fernandez | Internal Medicine | 1124 W 21st St, Andover, KS 67002-5500 | 2012-06-06 |
| 1023270014 | Casandra Lea Butler | Internal Medicine | 1124 W 21st St, Andover, KS 67002-5500 | 2008-06-30 |
| 1952585341 | Kansas Medical Center, LLC | Internal Medicine | 1124 W 21st St, Andover, KS 67002-5500 | 2007-12-21 |
| 1770705253 | Heather Leanne Roe | Emergency Medicine | 1124 W 21st St, Andover, KS 67002-5500 | 2007-05-03 |
| 1588603104 | John Phillip Weller | Nurse Anesthetist, Certified Registered | 1124 W 21st St, Andover, KS 67002-5500 | 2006-06-06 |
| 1528006798 | Martin E Sellberg | Emergency Medicine | 1124 W 21st St, Andover, KS 67002 | 2006-06-02 |
| 1811949506 | Steven R Geisler | Anesthesiology | 1124 W 21st St, Andover, KS 67002-5500 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386262707 | Rachel Marie Porter | Nurse Practitioner | Andover Family Medicine, 2117 N Keystone Circle, Andover, KS 67002 | 2020-07-13 |
| 1033535695 | Michael L Ray | Chiropractor | 1145 N Andover Rd Ste 109, Andover, KS 67002 | 2014-03-06 |
| 1225372949 | Lisa Hua Lee | Physical Therapy Assistant | 811 N Crescent Lakes Cir, Andover, KS 67002 | 2012-11-19 |
| 1689992752 | Andover Senior Care, LLC | Skilled Nursing Facility | 224 E Central Ave, Andover, KS 67002 | 2010-05-13 |
| 1033303136 | Casey T Hummel | Chiropractor | 550 North Andover Road, Andover, KS 67002 | 2007-08-31 |
| 1801007786 | Kansas Medical Center, LLC | Family Medicine | 1124 W. 21st St, Andover, KS 67002 | 2007-05-24 |
| 1205929957 | Sitha Uy Miller | Internal Medicine | 943 N. Andover Road, Andover, KS 67002 | 2006-10-02 |
| 1275644650 | Shala Renee Holman | Physician Assistant | 1124 W. 21st Street, Andover, KS 67002 | 2006-08-31 |
| 1497869168 | Allan Michael Weilert | Chiropractor | 202 E Rhondda St, Ste A, Andover, KS 67002 | 2006-08-18 |
| 1407872708 | Lindsay Marie Landers | Family Medicine | 105 S Andover Rd, Suite D, Andover, KS 67002 | 2006-07-14 |
| Find all providers in zip 67002 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255380127 | Kansas Medical Center LLC | General Acute Care Hospital | 1124 W 21st, Andover, KS 67002-5500 | 2006-05-09 |
| 1295814812 | Trustees of Phillips Academy | General Acute Care Hospital | 180 Main St, Andover, MA 01810-4166 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921029 | Topeka Er Hospital LLC | General Acute Care Hospital | 6135 Sw 17th Street, Topeka, KS 66604 | 2020-01-14 |
| 1992341473 | Mercy Specialty Hospital Southeast Kansas | General Acute Care Hospital | 1619 K66, Galena, KS 66739-4306 | 2019-11-20 |
| 1518454842 | Rock Regional Hospital, LLC | General Acute Care Hospital | 3251 Rock Road, Derby, KS 67037 | 2018-04-23 |
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1639624141 | Matthew Tyler Howard | General Acute Care Hospital | 2032 Sudler, Ku Med Center, Kansas City, KS 66160-0001 | 2016-08-25 |
| 1780137265 | Herington Municipal Hospital | General Acute Care Hospital | 100 E Helen, Herington, KS 67449-1697 | 2016-08-01 |
| 1396097317 | City of Galena-kansas | General Acute Care Hospital | 1619 K 66, Galena, KS 66739 | 2012-10-15 |
| 1871885491 | Robert J. Dole Va | General Acute Care Hospital | 613 E. Showalter, Rose Hill, KS 67133-9770 | 2011-05-16 |
| 1023334950 | Ascension Via Christi Hospital St Teresa Inc. | General Acute Care Hospital | 14800 W Saint Teresa St, Wichita, KS 67235-9602 | 2010-04-16 |
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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.