LUKE TRISTAN ROSEBRAUGH (NPI# 1730567744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730567744 |
Entity Type | Individual |
Full Name | LUKE TRISTAN ROSEBRAUGH |
Credential | M.D. |
Practice Address |
605 W Lincoln Lindsborg KS 67456 |
Practice Telephone | 7852273371 |
Practice Fax Number | 7852273004 |
Mailing Telephone | 7852273371 |
Mailing Fax Number | 7852273004 |
Enumeration Date | 2015-05-11 |
Last Update Date | 2020-03-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 04-39237 | KS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 201173400A | 05 |
Street Address |
605 W LINCOLN |
City | LINDSBORG |
State | KS |
Zip Code | 67456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902862758 | Esther A Carlson | Nurse Practitioner | 605 W Lincoln, Lindsborg, KS 67456 | 2006-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760810568 | Jade Banning | Physician Assistant | 605 W Lincoln St, Lindsborg, KS 67456 | 2013-10-15 |
1952733149 | Teresa K Pearson | Nurse Practitioner | 605 W Lincoln St, Lindsborg, KS 67456 | 2013-07-30 |
1730400219 | Wendy Dinkel | Family Medicine | 605 W Lincoln St, Lindsborg, KS 67456 | 2010-06-18 |
1417913732 | Amy L Fitzgerald | Physician Assistant | 605 W Lincoln St, Lindsborg, KS 67456 | 2006-04-25 |
1639584402 | Philip Witek | Physical Medicine & Rehabilitation | 508 W Garfield St, Lindsborg, KS 67456-1524 | 2014-06-30 |
1134152762 | Bryce J Loder | Family Medicine | 906 Meadow Ln, Lindsborg, KS 67456-1600 | 2006-07-08 |
1255728739 | Cheryl Ann Malm | Behavioral Analyst | 520 N Pine St, Lindsborg, KS 67456-1719 | 2015-04-22 |
1700294592 | Agape Therapy LLC | Case Management | 419 N Washington St, Lindsborg, KS 67456-1727 | 2014-07-24 |
1790078525 | Karen Carlson | Case Manager/Care Coordinator | 431 N Main St, Lindsborg, KS 67456-1807 | 2011-05-26 |
1174035786 | Robin Flowers | Specialist/Technologist | 335 E Swensson Ave, Lindsborg, KS 67456-1817 | 2017-11-04 |
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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 |
---|---|---|---|---|
1043235484 | Graig L Nickel | Family Medicine | 1200 Schwegler Drive, Ku Shs - Watkins Memorial Health Center, Lindsborg, KS 66045 | 2006-07-13 |
1134152762 | Bryce J Loder | Family Medicine | 906 Meadow Ln, Lindsborg, KS 67456-1600 | 2006-07-08 |
1730400219 | Wendy Dinkel | Family Medicine | 605 W Lincoln St, Lindsborg, KS 67456 | 2010-06-18 |
1265457600 | Duane E Fredrickson | Family Medicine | 601 W Lincoln St, Lindsborg, KS 67456-2328 | 2006-07-13 |
1588697114 | Benjamin K Dolezal | Family Medicine | 605 W Lincoln St, Lindsborg, KS 67456-2328 | 2006-07-08 |
1629044433 | Jody J Bieker | Family Medicine | 605 W Lincoln St, Lindsborg, KS 67456-2328 | 2006-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598370892 | River City Osteopathic Clinic | Family Medicine | 401 E 1st St, Wichita, KS 67202-2501 | 2020-09-14 |
1396357166 | Spira Care, LLC | Family Medicine | 7341 W 133rd St, Overland Park, KS 66213-4750 | 2020-08-21 |
1902428840 | County of Logan | Family Medicine | 1001 Highway 40 Ste 4, Oakley, KS 67748-6061 | 2020-05-14 |
1285253492 | Lawrence Physicians LLC | Family Medicine | 3211 S Iowa St Ste 100, Lawrence, KS 66046-5205 | 2020-04-09 |
1164052973 | Theory Health Kansas LLC | Family Medicine | 10000 Marshall Dr, Lenexa, KS 66215-1244 | 2020-01-21 |
1477108603 | Laurie Irene Haury | Family Medicine | 818 N Emporia St Ste 107, Wichita, KS 67214-3725 | 2019-08-05 |
1477107878 | Lawrence Physicians LLC | Family Medicine | 2001 Haskell Ave Ste A, Lawrence, KS 66046-3249 | 2019-07-25 |
1104484773 | Lawrence Physicians LLC | Family Medicine | 1130 W 4th St Ste 1015, Lawrence, KS 66044-1328 | 2019-05-30 |
1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
1043794373 | Rajwinder Kaur | Family Medicine | 540 E Santa Fe St Ste E, Olathe, KS 66061-3400 | 2018-09-22 |
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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.