COFFEYVILLE REGIONAL MEDICAL CENTER INC (NPI# 1528311024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528311024 |
| Entity Type | Organization |
| Organization Name | COFFEYVILLE REGIONAL MEDICAL CENTER INC |
| Practice Address |
1400 W 4th St Coffeyville KS 67337-3306 |
| Practice Telephone | 6202511200 |
| Practice Fax Number | 6202521562 |
| Mailing Telephone | 6202511200 |
| Mailing Fax Number | 6202521562 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | BRIAN LAWRENCE (CEO) |
| Authorized Official Telephone | 6202521519 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053862805 | Coffeyville Regional Medical Center Inc | Clinic/Center | 1400 W 4th St, Ste 100, Coffeyville, KS 67337-3306 | 2016-10-17 |
| 1265550891 | Coffeyville Regional Medical Center Inc | Emergency Medicine | 1400 W 4th Street, Coffeyville, KS 67337 | 2007-03-26 |
| 1124177191 | Coffeyville Regional Medical Center Inc | Ambulance | 1400 W 4th Street, Coffeyville, KS 67337 | 2007-01-09 |
| 1609943042 | Coffeyville Regional Medical Center Inc | Home Health | 908 Siggins St, Coffeyville, KS 67337-2921 | 2006-11-29 |
| Street Address |
1400 W 4TH ST |
| City | COFFEYVILLE |
| State | KS |
| Zip Code | 67337-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073510764 | Mary Beth Hartley | Nurse Practitioner | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2005-07-07 |
| 1902403801 | Bridget Catherine Eloise Vargas | Nurse Practitioner | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2020-10-04 |
| 1982229266 | Allison Nichole Littleford | Nurse Practitioner | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2020-06-11 |
| 1144794843 | Chad Young Mccready | Physician Assistant | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2019-01-15 |
| 1629579941 | Coffeyville Regional Medical Center, Inc. | Medicare Defined Swing Bed Unit | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2018-02-22 |
| 1205340445 | Julia Dawn Moses | Nurse Anesthetist, Certified Registered | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2017-11-27 |
| 1700302304 | Judy Ann Carpenter | Nurse Practitioner | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2017-08-16 |
| 1932629300 | Brock James Juffs | Family Medicine | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2017-06-26 |
| 1639607781 | Heather Lee Pollet | Registered Nurse | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2017-06-01 |
| 1740714575 | Peer Medical Imaging Interpretation LLC | Radiology | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2017-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858471 | Colby Robert Andreasen-cannon | Pharmacist | 1863 5300 Rd, Coffeyville, KS 67337 | 2020-07-14 |
| 1558917245 | Zachary James Newman | Case Manager/Care Coordinator | 1601 West 4th Street, Coffeyville, KS 67337 | 2019-08-18 |
| 1669725396 | Traeger Nelson Tvedten | Chiropractor | 411 1/2 West 11th Street, Coffeyville, KS 67337 | 2012-10-18 |
| 1831408020 | Carrie Lane Strimple | Family Medicine | 1505 W 11th St Ste C, Coffeyville, KS 67337 | 2010-10-05 |
| 1093047185 | Terry D Powell Radiation Oncologist, Inc. | Radiology | 1400 W 4th St, Radiation Oncology Dept, Coffeyville, KS 67337 | 2010-02-01 |
| 1649446931 | Windsor Place At Home Care LLC | Technician | 415 W 11th, Coffeyville, KS 67337 | 2008-05-06 |
| 1679668115 | Daniel H Chappell | Obstetrics & Gynecology | 801 W 8th St., Coffeyville, KS 67337 | 2006-10-03 |
| 1760582878 | Jack S Bell | Physician Assistant | 1411 W 4th, Suite G, Coffeyville, KS 67337 | 2006-09-25 |
| 1114026937 | Stephen A Miller | Obstetrics & Gynecology | 1717 West Eighth, Coffeyville, KS 67337 | 2006-09-21 |
| 1285600379 | Coffeyville Regional Medical Center, Inc. | General Acute Care Hospital | 1400 W 4th Street, Coffeyville, KS 67337 | 2006-02-27 |
| Find all providers in zip 67337 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821281734 | Chitra Kohli | Pathology | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2007-08-23 |
| 1699743435 | Raymond G Hawley Md Pa | Pathology | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2006-03-09 |
| 1558339408 | Raymond Hawley | Pathology | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831694900 | Anna Louise Heimes Dillon | Pathology | 3901 Rainbow Boulvard, Kansas City, KS 66160-0001 | 2018-03-29 |
| 1598105165 | Fredrick Andrew Tweet | Pathology | 876 Highway K 171, Pittsburg, KS 66762-8748 | 2013-06-27 |
| 1053682559 | William Neil Leifer | Pathology | 9500 Sw Jordan Rd, Wakarusa, KS 66546-9324 | 2012-01-16 |
| 1972872943 | Jean Alan Sanders | Pathology | 2820 Tomahawk Drive, Lawrence, KS 66049 | 2011-12-21 |
| 1750675096 | Stephanie Marie Wood | Pathology | 3901 Rainbow Blvd Dept Of, Kansas City, KS 66160-3011 | 2011-06-03 |
| 1801187125 | Hana Albrecht | Pathology | 1500 Sw Tenth Avenue, Topeka Pathology Group, LLC, Topeka, KS 66604 | 2011-04-20 |
| 1982892212 | Marion Francis Biondo | Pathology | 11717 Brookwood Ave, Leawood, KS 66211-2903 | 2007-10-11 |
| 1609908821 | Basem B. Ahmed | Pathology | University of Kansas Medical Ctr 3901 Rainbow Blvd, 2017 Wahl Hall West Ms 3045, Kansas City, KS 66160-0001 | 2007-03-12 |
| 1083746283 | Maura Frances O'neil | Pathology | University of Kansas Medical Center 3901 Rainbow Blvd, 2017 Wahl Hall West Ms 3045, Kansas City, KS 66160-0001 | 2007-03-12 |
| 1629121686 | Joel W Alderson | Pathology | 959 N St Francis, Wichita, KS 67214-3821 | 2007-01-20 |
| Find all providers with the same taxonomy | ||||
| City | COFFEYVILLE |
| Zip Code | 67337 |
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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.