KINGMAN COUNTY FAMILY MEDICINE,LLC (NPI# 1770785362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770785362 |
| Entity Type | Organization |
| Organization Name | KINGMAN COUNTY FAMILY MEDICINE,LLC |
| Practice Address |
132 West A Street Kingman KS 67068 |
| Mailing Address |
132 W A Ave Kingman KS 67068-1305 |
| Practice Telephone | 6205325800 |
| Practice Fax Number | 6205323361 |
| Mailing Telephone | 6205325800 |
| Mailing Fax Number | 6205323361 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2012-11-30 |
| Authorized Official Name | MS. JAYLENE K REED (OFFICE MANAGER) |
| Authorized Official Telephone | 6205325800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0525303 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS | 110907 | 01 |
| Street Address |
132 WEST A STREET |
| City | KINGMAN |
| State | KS |
| Zip Code | 67068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740701788 | Meredith Voran | Pharmacist | 211 N. Main, Kingman, KS 67068 | 2017-06-29 |
| 1952400558 | Rudolph Charles Sasina | Chiropractor | 108 N. Main St., Kingman, KS 67068 | 2006-09-21 |
| 1124083308 | Line Medical Inc | Radiology | 750 Avenue D West, Kingman, KS 67068 | 2006-04-19 |
| 1699746651 | Marsha Stineman Crna Ms Pa | Nurse Anesthetist, Certified Registered | 750 West D Ave, Kingman, KS 67068 | 2006-01-30 |
| 1538147236 | Richard E Davis | Dentist | 126 West Ave B, Kingman, KS 67068 | 2006-01-04 |
| 1609371269 | Amber Girrens | Dietitian, Registered | 750 W D Ave, Kingman, KS 67068 | 2018-03-27 |
| 1376901033 | Elizabeth Cramer | Registered Nurse | 760 W D Ave, Kingman, KS 67068 | 2016-02-09 |
| 1841418167 | Alliance Imaging Inc | Clinic/Center | 750 W D Ave, Kingman, KS 67068 | 2007-04-23 |
| 1821127044 | Ninnescah Valley Health Systems | Home Health | 750 West D Ave, Kingman, KS 67068 | 2007-03-05 |
| 1477650703 | Krishnakumar M Kotecha | Radiology | 750 W D Ave, Kingman, KS 67068 | 2006-09-20 |
| Find all providers in zip 67068 | ||||
| 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 |
|---|---|---|---|---|
| 1013559301 | Ashley Marie Eyer | Family Medicine | 1753 Airway Ave Ste A, Kingman, AZ 86409-3720 | 2019-10-08 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1780900910 | Weidner Medical Consulting Pllc | Family Medicine | 2720 E Calle Marquez, Kingman, AZ 86409-0851 | 2010-04-13 |
| 1760611560 | Loren Louis Augustyn | Family Medicine | 1812 North Red Barn Lane, Kingman, KS 67068-8076 | 2009-07-14 |
| 1245439330 | Melissa Ogden | Family Medicine | 2202 N Stockton Hill Rd, Suite 100, Kingman, AZ 86401-4622 | 2007-07-17 |
| 1427264480 | Central Mohave Medical Clinics Ltd | Family Medicine | 1915 N Stockton Hill Rd, Kingman, AZ 86401-4652 | 2007-05-15 |
| 1083714380 | Stephen G Grillot | Family Medicine | 132 W A Ave, Kingman, KS 67068-1305 | 2006-09-25 |
| 1205826880 | Donald Lynn Morgan | Family Medicine | 1739 Beverly Avenue, Suite 201, Kingman, AZ 86409-3593 | 2005-10-25 |
| 1750378014 | Ninnescah Valley Health Systems, Inc | Family Medicine | 437 Cedar St, Kingman, KS 67068-1324 | 2005-10-03 |
| 1639166986 | Victoria M Moots | Family Medicine | 437 North Cedar St, Kingman, KS 67068-1324 | 2005-10-03 |
| Find all providers in KINGMAN | ||||
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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.