ERIC LEE DYCK (NPI# 1497708580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497708580 |
| Entity Type | Individual |
| Full Name | ERIC LEE DYCK |
| Credential | MD |
| Practice Address |
2102 Baptiste Dr Paola KS 66071-1314 |
| Practice Telephone | 9135575678 |
| Practice Fax Number | 9135575681 |
| Mailing Telephone | 9135575678 |
| Mailing Fax Number | 9135575681 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2013-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0418590 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100420290A | 05 |
| Street Address |
2102 BAPTISTE DR |
| City | PAOLA |
| State | KS |
| Zip Code | 66071-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396721668 | Christopher George Lewis | Surgery | 2102 Baptiste Dr, Suite #d, Paola, KS 66071-1314 | 2005-12-19 |
| 1063938025 | Matthew Braxton Sherman | Physician Assistant | 2102 Baptiste Dr, Paola, KS 66071-1314 | 2017-08-21 |
| 1063762946 | Brooke Lin Ottesen | Nurse Practitioner | 2102 Baptiste Dr, Paola, KS 66071-1314 | 2012-09-18 |
| 1245515204 | Robin M Spencer | Nurse Practitioner | 2102 Baptiste Dr, Paola, KS 66071-1314 | 2011-10-20 |
| 1396073615 | Miami County Surgical Associates LLC | Surgery | 2102 Baptiste Dr, Ste D, Paola, KS 66071-1314 | 2009-11-24 |
| 1902039514 | Justin Patrick Kelley | Physician Assistant | 2102 Baptiste Dr, Suite # E, Paola, KS 66071-1314 | 2009-08-30 |
| 1164601373 | Karl Lance Kroen | Nurse Practitioner | 2102 Baptiste Dr, Paola, KS 66071-1314 | 2007-10-24 |
| 1437370152 | Daniel Robert Perry | Surgery | 2102 Baptiste Dr, Suite D, Paola, KS 66071-1314 | 2007-05-01 |
| 1023141496 | Affiliated Heartland Podiatry | Podiatrist | 2102 Baptiste Dr, Suite D, Paola, KS 66071-1314 | 2007-03-14 |
| 1356358790 | David James Burnett | Podiatrist | 2102 Baptiste Dr, Suite D, Paola, KS 66071-1314 | 2006-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891235032 | Erin Poe | Pharmacist | 311 N. Hospital Dr., Paola, KS 66071 | 2017-03-07 |
| 1902052871 | Travis L Howard | Dentist | 1610 Willis Court, Paola, KS 66071 | 2008-08-12 |
| 1114139870 | Agape, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16046 W 343rd St, Paola, KS 66071 | 2007-05-04 |
| 1497978373 | County of Miami | Public Health or Welfare | 1201 Lakemary Drive, Paola, KS 66071 | 2007-04-10 |
| 1629192356 | Maria Elaine Heid | Speech-Language Pathologist | 2103 Lakeview Drive, Paola, KS 66071 | 2007-03-19 |
| 1356408736 | Douglas Mark Slawson | Dentist | 22 South Silver, Paola, KS 66071 | 2007-01-03 |
| 1811089295 | Sanders Family Dentistry | Dentist | 28 W Peoria, Paola, KS 66071 | 2006-09-29 |
| 1043263767 | Shana E Pedrow | Nurse Practitioner | 2102 Baptiste Drive, Paola, KS 66071 | 2006-05-17 |
| 1801867510 | College Boulevard Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 2100 Baptiste Dr, Paola, KS 66071 | 2006-01-30 |
| 1235109950 | Jaclyn Dean Voight | Nurse Anesthetist, Certified Registered | 2100 Baptiste, Paola, KS 66071 | 2006-01-25 |
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| 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 |
|---|---|---|---|---|
| 1720313422 | Mark Richard Holscher | Family Medicine | 609 E Miami St, Paola, KS 66071-1852 | 2009-10-14 |
| 1205825825 | Donald E Banks | Family Medicine | 705 Baptiste Dr, Paola, KS 66071-1336 | 2005-10-17 |
| 1538669346 | Miami County Medical Center Inc. | Family Medicine | 2100 Baptiste Dr, Paola, KS 66071-1314 | 2018-02-19 |
| 1164610291 | Donald E. Banks | Family Medicine | 705 Baptiste Dr, Paola, KS 66071-1336 | 2007-10-15 |
| 1649468174 | Trent E. Knewtson | Family Medicine | 705 Baptiste Dr, Paola, KS 66071-1336 | 2007-10-10 |
| 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 |
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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.