JEFFREY J STASCH (NPI# 1619416120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619416120 |
| Entity Type | Organization |
| Organization Name | JEFFREY J STASCH |
| Practice Address |
1812 E Mary St Garden City KS 67846-3652 |
| Mailing Address |
1812 E Mary St Garden City KS 67846 UM |
| Practice Telephone | 6202754782 |
| Mailing Telephone | 6022754782 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | JEFFREY J STASCH (OWNER) |
| Authorized Official Telephone | 6202754782 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
6077 | KS | Suppliers |
| Street Address |
1812 E MARY ST |
| City | GARDEN CITY |
| State | KS |
| Zip Code | 67846-3652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801882832 | Jeffrey J Stasch | Dentist | 1812 E Mary St, Garden City, KS 67846-3652 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619036 | Kayla Thackery | Speech-Language Pathologist | 2735 N Jennie Barker Rd, Garden City, KS 67846 | 2019-10-07 |
| 1477049732 | Sarah Lemmons | Specialist/Technologist | 801 Campus Dr, Athletic Department, Garden City, KS 67846 | 2018-07-10 |
| 1720571813 | Keith Earnest Venjohn | Pharmacist | 3101 East Kansas Ave, Garden City, KS 67846 | 2018-06-13 |
| 1457879017 | Jami Rae Weaver-warren | Nurse Practitioner | 302 N. Fleming Street Suite 2, Garden City, KS 67846 | 2017-09-05 |
| 1659812279 | Cynthia Brungardt | Pharmacist | 2424 N. Taylor Avenuee, Garden City, KS 67846 | 2017-03-15 |
| 1982145595 | Garden City Sr Operatons LLC | Custodial Care Facility | 2002 Labrador Boulevard, Garden City, KS 67846 | 2017-03-15 |
| 1255717559 | United Methodist Mexican American Ministries | Community/Behavioral Health | 122 W. Laurel Street, Garden City, KS 67846 | 2015-08-10 |
| 1447668629 | Zulema Salazar | Registered Nurse | 712 St. John St., Garden City, KS 67846 | 2014-07-31 |
| 1710210943 | Garden Valley Retirement Village, LLC | Skilled Nursing Facility | 1505 East Spruce Street, Garden City, KS 67846 | 2009-09-04 |
| 1720231848 | Vollertsen Family Dentistry | Health Maintenance Organization | 1402 1/2 Kansas Ave., Garden City, KS 67846 | 2008-11-03 |
| Find all providers in zip 67846 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215437397 | Brace Yourself | Durable Medical Equipment & Medical Supplies | 1510 Taylor Plz E, Garden City, KS 67846-4055 | 2018-02-15 |
| 1417482423 | Premier Health Solutions Dme Inc | Durable Medical Equipment & Medical Supplies | 29484 Ford Rd, Garden City, MI 48135-2318 | 2017-04-27 |
| 1700055209 | Breakaway, Inc | Durable Medical Equipment & Medical Supplies | 106 E 39th St, Garden City, ID 83714-6440 | 2008-02-28 |
| 1629264189 | Robert Lee Baker | Durable Medical Equipment & Medical Supplies | 211 W Kansas Ave, Garden City, KS 67846-5362 | 2007-09-19 |
| 1538127089 | Griffin Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 3911 Old Louisville Rd Ste 105, Garden City, GA 31408-2622 | 2006-05-03 |
| 1215933791 | Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1050 Stewart Avenue, Suite 120, Garden City, NY 11530 | 2005-06-21 |
| 1043717135 | Premier Health Solution Dme Inc | Durable Medical Equipment & Medical Supplies | 29484 Ford Rd, Garden City, MI 48135-2318 | 2018-04-06 |
| 1730532607 | Ann D. Tobin, Dds | Durable Medical Equipment & Medical Supplies | 520 Franklin Ave, Suite 126, Garden City, NY 11530-5806 | 2016-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485123 | Douglas Myers | Durable Medical Equipment & Medical Supplies | 210 E 30th Ave Ste 120, Hutchinson, KS 67502-2463 | 2019-12-26 |
| 1861958530 | Res-care Kansas, Inc | Durable Medical Equipment & Medical Supplies | 3000 Pecanwood Dr, Manhattan, KS 66502-2208 | 2019-02-18 |
| 1396200663 | Valerie C Wondra | Durable Medical Equipment & Medical Supplies | 301 S Meridian Ave Rm 113, Wichita, KS 67213-2629 | 2019-01-31 |
| 1972912392 | Green's Home Improvement LLC | Durable Medical Equipment & Medical Supplies | 1508 Sw 41st St, Topeka, Topeka, KS 66609-1200 | 2014-08-11 |
| 1821411497 | Hotasan Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 6602 E Harry St, Wichita, KS 67207-2962 | 2014-02-01 |
| 1326461575 | Midwest Building Suppy, Inc | Durable Medical Equipment & Medical Supplies | 201 E. 6th St. Cr., Goddard, KS 67052 | 2014-01-23 |
| 1447672571 | Heartland O&p, Inc | Durable Medical Equipment & Medical Supplies | 919 Westport Pl, Manhattan, KS 66502-2913 | 2014-01-08 |
| 1902238702 | Wmk Enterprises LLC | Durable Medical Equipment & Medical Supplies | 14719 W 114th Ter, Lenexa, KS 66215-4882 | 2013-08-02 |
| 1043597784 | West Side Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 602 N Webb Rd Ste 108, Wichita, KS 67206-1803 | 2011-11-09 |
| 1699057729 | Open Airway, LLC | Durable Medical Equipment & Medical Supplies | 6299 Nall, Ste. 210, Mission, KS 66202 | 2011-09-14 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN CITY |
| Zip Code | 67846 |
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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.