DR. OSWALDO CRUZ BACANI SR. (NPI# 1467565879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467565879 |
| Entity Type | Individual |
| Full Name | DR. OSWALDO CRUZ BACANI SR. |
| Credential | M.D. |
| Practice Address |
1525 Madison St Ste 3 Fredonia KS 66736-1704 |
| Mailing Address |
Po Box 576 Fredonia KS 66736-0576 |
| Practice Telephone | 6203783700 |
| Practice Fax Number | 6203783536 |
| Mailing Telephone | 6203783700 |
| Mailing Fax Number | 6203783536 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2009-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 04-17538 | KS | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 04-17538 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100087030-A | 05 | |
| KS | BLUE CROSS BLUE SHIELD | 0000002897 | 01 |
| Street Address |
1525 MADISON ST STE 3 |
| City | FREDONIA |
| State | KS |
| Zip Code | 66736-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730607599 | Lacey Dawn Spohn | Nurse Practitioner | 1525 Madison St Ste 3, Fredonia, KS 66736-1704 | 2017-08-31 |
| 1669571774 | Handshy Medical Clinic LLC | Medical Genetics, Ph.D. Medical Genetics | 1525 Madison St Ste 3, Fredonia, KS 66736-1704 | 2006-09-22 |
| 1902916315 | Handshy Medical Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 1525 Madison St Ste 3, Fredonia, KS 66736-1704 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891907622 | Grene Vision Group LLC | Ophthalmology | 1508 Madison, Fredonia, KS 66736 | 2007-05-04 |
| 1295828838 | Cherie Farrar Starbuck | Chiropractor | 432 N 7, Fredonia, KS 66736 | 2006-10-02 |
| 1528609666 | Southeast Kansas Nutrition LLC | Dietitian, Registered | 419 N 6th St Ste 16, Fredonia, KS 66736-1300 | 2019-09-30 |
| 1801029152 | Usd 484 Fredonia | Local Education Agency (LEA) | 300 N 6th St, Fredonia, KS 66736-1305 | 2009-09-02 |
| 1831168731 | Paul E. Sommer | Chiropractor | 427 N 6th St, Fredonia, KS 66736-1306 | 2006-03-14 |
| 1609856145 | Ronald Guy Cleverley | Dentist | 428 N 7th St, Fredonia, KS 66736-1315 | 2006-01-19 |
| 1225149586 | Home Town Health Care LLC | Home Health | 314 N 7th St, Fredonia, KS 66736-1337 | 2006-08-31 |
| 1912379389 | Southeast Kansas Diabetes Education | Dietitian, Registered | 314 N 7th St, Fredonia, KS 66736-1337 | 2015-10-26 |
| 1649601683 | Rachael Jean Shinkle | Dietitian, Registered | 314 N 7th St, Fredonia, KS 66736-1337 | 2013-12-02 |
| 1013403633 | Jacob Dugan | Pharmacist | 628 Madison St, Fredonia, KS 66736-1338 | 2018-07-06 |
| Find all providers in zip 66736 | ||||
| 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 |
|---|---|---|---|---|
| 1548238876 | Canyonlands Community Health Care | Family Medicine | 100 E Wood Hill Road, Fredonia, AZ 86022-0175 | 2006-03-11 |
| 1750754610 | Jennifer Bacani Mckenney, Md, LLC | Family Medicine | 1525 Madison St, Suite 3, Fredonia, KS 66736-1703 | 2015-11-01 |
| 1023318375 | Ambrosio P Mendiola Md LLC | Family Medicine | 1525 Madison St, Suite 3, Fredonia, KS 66736-1703 | 2010-11-02 |
| 1689893448 | Jennifer Bacani Mckenney | Family Medicine | 1525 Madison St, Suite 3, Fredonia, KS 66736-1751 | 2007-04-24 |
| 1407950538 | Family Practice Care LLC | Family Medicine | 700 Cassidy Ave, Fredonia, KY 42411 | 2006-09-11 |
| 1225132350 | Scott R Graham | Family Medicine | 700 Cassidy Ave, Fredonia, KY 42411 | 2006-09-11 |
| 1750372280 | James E Clay | Family Medicine | 1525 Madison St, Suite 3, Fredonia, KS 66736-1703 | 2005-11-03 |
| 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.