ST MARYS FAMILY PRACTICE, PA (NPI# 1629252366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629252366 |
| Entity Type | Organization |
| Organization Name | ST MARYS FAMILY PRACTICE, PA |
| Practice Address |
515 W Bertrand Ave Saint Marys KS 66536-1618 |
| Mailing Address |
515 W Bertrand Ave P.o. Box 56 Saint Marys KS 66536-1618 |
| Practice Telephone | 7854372105 |
| Practice Fax Number | 7854372104 |
| Mailing Telephone | 7854372105 |
| Mailing Fax Number | 7854372104 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2014-12-12 |
| Authorized Official Name | DR. DAVID BRADLEY JONES (OWNER) |
| Authorized Official Telephone | 7854372105 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
04-21765 | KS | Ambulatory Health Care Facilities |
| Street Address |
515 W BERTRAND AVE |
| City | SAINT MARYS |
| State | KS |
| Zip Code | 66536-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982684411 | David B Jones | Family Medicine | 515 W Bertrand Ave, Saint Marys, KS 66536-1618 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224121 | Flinthillsdentalpa | Dentist | 104 S. De Smet Ln., Ste. 6, St Marys, KS 66536 | 2020-01-14 |
| 1487752788 | Kimra S Qualls | Chiropractor | 503 E. Bertrand, St. Marys, KS 66536 | 2006-09-20 |
| 1407954704 | Back To Health Wellness, Inc | Chiropractor | 503 E. Bertrand, St. Marys, KS 66536 | 2006-09-20 |
| 1023282324 | Alternative Healthcare of St Marys, Pa. | Chiropractor | 513 W Bertrand Ave, St. Marys, KS 66536-0236 | 2008-04-17 |
| 1962782680 | J.warren Hildreth, Jr., Dds Pa | Dentist | 310 W Bertrand Ave, Saint Marys, KS 66536-1615 | 2011-08-25 |
| 1659624252 | Kyung Ha Kim | Dentist | 310 W Bertrand Ave, Saint Marys, KS 66536-1615 | 2012-10-19 |
| 1851349237 | Verne Claussen | Optometrist | 525 W Bertrand Ave, St Marys, KS 66536-1618 | 2006-05-05 |
| 1790813699 | Dr. Verne E Claussen Jr Pa | Optometrist | 525 W Bertrand Ave, Saint Marys, KS 66536-1618 | 2007-03-01 |
| 1275504839 | Community Healthcare System, Inc | Clinic/Center | 206 Grand Ave, St Marys, KS 66536-1637 | 2006-01-31 |
| 1598751448 | C B Carroll | Family Medicine | 206 S Grand Ave, Saint Marys, KS 66536-1637 | 2005-09-26 |
| Find all providers in zip 66536 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801167325 | Edward J Smith Dc PC | Clinic/Center | 564 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3000 | 2012-01-13 |
| 1467017491 | Grace Family Healthcare | Clinic/Center | 102 Lakeshore Dr Ste B, Saint Marys, GA 31558-3875 | 2019-05-06 |
| 1235632449 | Coastal Georgia Wellness Center & Family Medicine | Clinic/Center | 102 Lakeshore Dr Ste B, Saint Marys, GA 31558-3875 | 2018-03-14 |
| 1225583644 | Albert M Thompson Jr PC | Clinic/Center | 102 Lakeshore Dr Ste B, Saint Marys, GA 31558-3875 | 2016-08-16 |
| 1508310210 | Wecare - Twu Employee Family Clinic | Clinic/Center | 107 Industrial Dr, Suite B, Saint Marys, GA 31558-4435 | 2016-08-10 |
| 1821374364 | Anew Medical Services Group, LLC | Clinic/Center | 102 Lakeshore Dr, Suite C, Saint Marys, GA 31558-3874 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184275588 | Careatc | Clinic/Center | 6700 College Blvd Ste 100, Overland Park, KS 66211-1525 | 2019-09-26 |
| 1619528643 | Careatc | Clinic/Center | 7570 W 21st St N Bldg 1006, Wichita, KS 67205-1734 | 2019-09-20 |
| 1467910034 | Amanda Delise Huerta | Clinic/Center | 4134 Eaton St Apt 3, Kansas City, KS 66103-3345 | 2019-03-03 |
| 1104397124 | Bridges Healthcare Inc | Clinic/Center | 313 S. Market Street, Wichita, KS 67202 | 2018-12-17 |
| 1689157000 | Runyan Family Practice LLC | Clinic/Center | 520 S Holland St Ste 403, Wichita, KS 67209-2060 | 2018-09-11 |
| 1740781848 | Medlen Family Care | Clinic/Center | 115 W Peoria St, Paola, KS 66071-1411 | 2018-02-23 |
| 1417481078 | Salina Health Education Foundation | Clinic/Center | 142 S 7th St, Salina, KS 67401-7408 | 2017-04-20 |
| 1477002467 | Careatc Qt Overland Park | Clinic/Center | 6700 College Blvd, Suite 100, Overland Park, KS 66211-1525 | 2016-10-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1093166803 | Topeka Consulting Physicians | Clinic/Center | 3520 Sw Alameda Dr, Topeka, KS 66614-5110 | 2016-06-23 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MARYS |
| Zip Code | 66536 |
Please comment or provide details below to improve the information on ST MARYS FAMILY PRACTICE, PA.
| 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.