DR. MARY L RARDIN (NPI# 1548237753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548237753 |
| Entity Type | Individual |
| Full Name | DR. MARY L RARDIN |
| Credential | MD |
| Practice Address |
408 Delaware Winchester KS 66097-4003 |
| Mailing Address |
408 Delaware St Winchester KS 66097-4003 |
| Practice Telephone | 9137744340 |
| Practice Fax Number | 9137743379 |
| Mailing Telephone | 8445369449 |
| Mailing Fax Number | 8442295881 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2017-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4-17908 | KS | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | R9D01 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100171740C | 05 | |
| MO | 202009932 | 05 | |
| DEA | AR1175086 | 01 |
| Street Address |
408 DELAWARE |
| City | WINCHESTER |
| State | KS |
| Zip Code | 66097-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215968870 | James V Rider | Family Medicine | 4th and Winchester, Winchester, KS 66097 | 2006-07-05 |
| 1790987691 | Cristin Noll | Physical Therapy Assistant | 25752 Limit Rd, Winchester, KS 66097-3006 | 2007-06-03 |
| 1750354908 | Jefferson County Memorial Hospital | Physician Assistant | 408 Delaware St, Winchester, KS 66097-4003 | 2006-02-08 |
| 1437798758 | Kelly Jones | Nurse Practitioner | 408 Delaware St, Winchester, KS 66097-4003 | 2020-01-03 |
| 1275040131 | Heather Regann Aranda | Nurse Practitioner | 408 Delaware St, Winchester, KS 66097-4003 | 2018-01-02 |
| 1700245057 | Jefferson County Memorial Hospital | Clinic/Center | 408 Delaware St, Winchester, KS 66097-4003 | 2016-02-15 |
| 1588966378 | Jefferson County Memorial Hospital Inc | Clinic/Center | 408 Delaware St, Winchester, KS 66097-4003 | 2010-11-30 |
| 1043480601 | Joan T Foster | Occupational Therapist | 408 Delaware St, Winchester, KS 66097-4003 | 2008-03-10 |
| 1952485583 | Michael F Law | Physician Assistant | 408 Delaware St, Winchester, KS 66097-4003 | 2006-10-24 |
| 1114012226 | Geraldine L Long | Nurse Practitioner | 408 Delaware St, Winchester, KS 66097-4003 | 2006-10-04 |
| Find all providers in zip 66097 | ||||
| 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 |
|---|---|---|---|---|
| 1679190441 | Antoaneta Angelova Fitzpatrick | Family Medicine | 607 Pritchards Hill Ct, Winchester, VA 22601-2653 | 2020-06-28 |
| 1851877310 | Acare Medical Center,llc | Family Medicine | 125 Prosperity Dr Ste 800, Winchester, VA 22602-5362 | 2018-07-17 |
| 1639679913 | Fast Pace Medical Clinic Pllc | Family Medicine | 2401 Decherd Blvd, Winchester, TN 37398-1164 | 2018-02-13 |
| 1255842506 | Valley Physician Enterprise, Inc | Family Medicine | 160 Merchant Street, Ste 100, Winchester, VA 22603 | 2017-10-13 |
| 1255851531 | Boden Health System LLC | Family Medicine | 125 Prosperity Dr Ste 500, Winchester, VA 22602-5361 | 2017-06-27 |
| 1952750242 | Morgan Santhamoorthy | Family Medicine | 203 Cambridge St, Winchester, MA 01890-2338 | 2016-06-07 |
| 1285048751 | Akolea K Ioane | Family Medicine | 1870 Amherst St Ste 2g, Winchester, VA 22601-2841 | 2014-06-12 |
| 1902192941 | Bryan D Grooms | Family Medicine | Po Box 155, Winchester, OH 45697-0155 | 2011-06-28 |
| 1891098620 | The Family Doctor's Office Plc | Family Medicine | 440 W Jubal Early Dr Ste 120, Winchester, VA 22601-6319 | 2010-12-16 |
| 1003040072 | Kentucky Bariatric, Inc | Family Medicine | 4925 Rockwell Road, Winchester, KY 40391-1928 | 2009-05-06 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 66097 |
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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.