SPORTS MEDICINE AND ORTHOPEDIC CLINIC OF COWLEY CO LLC (NPI# 1598145211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598145211 |
| Entity Type | Organization |
| Organization Name | SPORTS MEDICINE AND ORTHOPEDIC CLINIC OF COWLEY CO LLC |
| Practice Address |
1305 E 5th Ave Winfield KS 67156-2406 |
| Practice Telephone | 6202226210 |
| Mailing Telephone | 6202226210 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |
| Authorized Official Name | JERYL G FULLEN (MEMBER/MANAGER/OWNER) |
| Authorized Official Telephone | 6202226210 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
4-16478 | KS | Ambulatory Health Care Facilities |
| Street Address |
1305 E 5TH AVE |
| City | WINFIELD |
| State | KS |
| Zip Code | 67156-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467412825 | William Newton Memorial Hospital | Home Health | 1305 E 5th Ave, Winfield, KS 67156-2406 | 2006-03-27 |
| 1760094130 | William Newton Memorial Hospital | Radiology | 1305 E 5th Ave, Winfield, KS 67156-2406 | 2020-08-18 |
| 1386297018 | William Newton Memorial Hospital | Orthopaedic Surgery | 1305 E 5th Ave, Winfield, KS 67156-2406 | 2019-07-22 |
| 1376767863 | Cynthia A Groene | Nurse Practitioner | 1305 E 5th Ave, Winfield, KS 67156-2406 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992341952 | Annette Dannielle Reyes | Occupational Therapy Assistant | 1220 Ww II Memorial Dr, Winfield, KS 67156 | 2019-11-25 |
| 1902442247 | Sydney Dinicola | Speech-Language Pathologist | 1220 Ww II Memorial Dr, Winfield, KS 67156 | 2019-11-21 |
| 1669028973 | Kristina K Morin | Physical Therapy Assistant | 1309 E 19th Avenue, Winfield, KS 67156 | 2019-08-13 |
| 1952955817 | Advanced Pt, LLC | Occupational Therapist | 1309 E. 19th Avenue, Winfield, KS 67156 | 2019-07-30 |
| 1144701194 | Ana Liza Scully-skinner | Marriage & Family Therapist | 22214 D Street, Strother Field, Winfield, KS 67156 | 2018-08-28 |
| 1912437427 | Health Center Pharmacy Inc | Pharmacy | 722 Wheat Road, Winfield, KS 67156 | 2017-06-16 |
| 1942556824 | Leland Ray Kaufman | General Practice | 1500 E. 10th, Bldg B/2, Winfield, KS 67156 | 2012-07-30 |
| 1750691473 | Jessica Rachel Calvert | Social Worker | 121 College Ave., Winfield, KS 67156 | 2010-10-15 |
| 1619122686 | Cheryl Walsh Pickering | Social Worker | 22214 D. St, Strotherfield, Winfield, KS 67156 | 2008-11-18 |
| 1417122706 | Klas Daniel Miller | Obstetrics & Gynecology | 1230 E. Sixth Ave, Suite 2d, Winfield, KS 67156 | 2008-04-28 |
| Find all providers in zip 67156 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184164964 | Scott T Sander, O.d., L.L.C. | Clinic/Center | 16082 Metcalf Ave, Overland Park, KS 66085-9249 | 2017-02-28 |
| 1548668312 | Manhattan Urgent Care, LLC | Clinic/Center | 16234 Metcalf Ave, Overland Park, KS 66085-9147 | 2014-12-10 |
| 1083054266 | Schabel Performance Health & Wellness LLC | Clinic/Center | 13342 Pawnee St, Leawood, KS 66209-3348 | 2013-07-02 |
| 1750643433 | Walters Chiropractic, LLC | Clinic/Center | 2011 E Crossroads Ln, Suite 302, Olathe, KS 66062-1674 | 2012-06-08 |
| 1184954257 | Rhoades Corporation | Clinic/Center | 2215 Sw Westport Dr, Topeka, KS 66614-1926 | 2010-01-12 |
| 1710136759 | Concentra Health Services, Inc. | Clinic/Center | 14809 West 95th St., Lenexa, KS 66215 | 2008-09-15 |
| 1013176221 | Christian Care Cottage | Clinic/Center | 415 S Poplar St, Ottawa, KS 66067-2438 | 2008-06-03 |
| 1306021860 | Kansas Chiropractic Clinics, LLC | Clinic/Center | 431 Timber Ridge Cir, Derby, KS 67037-3637 | 2008-01-03 |
| 1649462490 | Greenwood County Hospital | Clinic/Center | 410 Merchant Ave, Fall River, KS 67047 | 2007-08-15 |
| 1275745085 | County of Ness | Clinic/Center | 202 W Sycamore St, Ness City, KS 67560-1564 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SPORTS MEDICINE AND ORTHOPEDIC CLINIC OF COWLEY CO LLC.
| 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.