CENTRAL KANSAS MEDICAL CENTER (NPI# 1790046019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790046019 |
| Entity Type | Organization |
| Organization Name | CENTRAL KANSAS MEDICAL CENTER |
| Other Organization Name | ST ROSE ANESTHESIA PATHOLOGY SERVICES |
| Practice Address |
3515 Broadway Ave Great Bend KS 67530-3633 |
| Mailing Address |
Po Box 388 Newton KS 67114-0388 |
| Practice Telephone | 6207922511 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-09-12 |
| Authorized Official Name | AMANDA VAUGHAN (CFO) |
| Authorized Official Telephone | 6202722222 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL KANSAS MEDICAL CENTER DBA ST. ROSE AMBULATORY & SURGERY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| St Rose Anesthesia Pathology Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366469371 | Central Kansas Medical Center | Home Health | 3520 Lakin, Great Bend, KS 67530-3646 | 2006-07-16 |
| 1043556400 | Central Kansas Medical Center | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2012-12-12 |
| 1770834806 | Central Kansas Medical Center | Pathology | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2012-09-28 |
| 1730452343 | Central Kansas Medical Center | Clinic/Center | 204 Cleveland St, Great Bend, KS 67530-3563 | 2012-02-13 |
| 1295022358 | Central Kansas Medical Center | Specialist | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-07-08 |
| 1902191364 | Central Kansas Medical Center | Clinical Medical Laboratory | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-06-14 |
| 1548555907 | Central Kansas Medical Center | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-06-14 |
| 1275828634 | Central Kansas Medical Center | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-06-14 |
| 1265731996 | Central Kansas Medical Center | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-03-21 |
| 1881927382 | Central Kansas Medical Center | Orthopaedic Surgery | 3515 Broadway Ave, Suite 109, Great Bend, KS 67530-3633 | 2009-09-15 |
| Street Address |
3515 BROADWAY AVE |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619503117 | Kelsey Renee Harris | Nurse Practitioner | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2020-03-16 |
| 1821654229 | Ukhs Great Bend, LLC | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-13 |
| 1902462302 | Ukhs Great Bend, LLC | Internal Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-13 |
| 1811553381 | Ukhs Great Bend, LLC | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-10 |
| 1396301867 | Ukhs Great Bend LLC | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-10 |
| 1992272918 | Ukhs Great Bend, LLC | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-10-29 |
| 1710454731 | Ukhs Great Bend, LLC | Hospice Care, Community Based | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-10-29 |
| 1588150635 | Ukhs Great Bend, LLC | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-07-02 |
| 1982152898 | Haley Ann Gleason | Nurse Practitioner | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2016-09-20 |
| 1669840195 | St. Rose Health Center Inc | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2015-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1265895908 | Kayti Trapp | Physical Therapy Assistant | 1514 Ks-96 Hwy, Great Bend, KS 67530 | 2016-03-31 |
| 1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
| 1912060435 | Larry G Kutina | Dentist | 3820 6th Street, Great Bend, KS 67530 | 2006-12-18 |
| 1144308883 | Hcc-healthcare of Great Bend, LLC | Skilled Nursing Facility | 1560 K96 Highway, Great Bend, KS 67530 | 2006-11-01 |
| 1841370699 | Edward Lake Jones | Pathology | 2001 Lincoln, Great Bend, KS 67530 | 2006-10-16 |
| 1407955529 | William G Hafner | Chiropractor | 1309 Williams St., Great Bend, KS 67530 | 2006-09-22 |
| Find all providers in zip 67530 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033459938 | Garrett T Rebel | Nurse Anesthetist, Certified Registered | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2013-03-01 |
| 1780844399 | Erin D Glassman | Nurse Anesthetist, Certified Registered | 514 Cleveland St, Great Bend, KS 67530-3562 | 2008-06-17 |
| 1386863272 | Kris Tarlton | Nurse Anesthetist, Certified Registered | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2007-04-25 |
| 1831318302 | Robert M Symes | Nurse Anesthetist, Certified Registered | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914277 | Steel Anesthesia Services Pa | Nurse Anesthetist, Certified Registered | 411 N Campus Dr, Garden City, KS 67846-6195 | 2020-08-26 |
| 1821637398 | Kari Anne Nunn | Nurse Anesthetist, Certified Registered | Anesthesia Associates of Central Kansas, P.a., 200 S. 5th St, Salina, KS 67401 | 2020-01-02 |
| 1700431228 | Kari Kreger | Nurse Anesthetist, Certified Registered | 508 Douglas St, Jetmore, KS 67854 | 2019-08-02 |
| 1821509753 | Kolton Levi Tanner Alexander | Nurse Anesthetist, Certified Registered | Rooks County Heath Center 1210 N Washington, Plainville, KS 67663 | 2017-10-18 |
| 1245740018 | Kansas Endoscopy LLC | Nurse Anesthetist, Certified Registered | 3121 N Webb Rd Ste 107, Wichita, KS 67226-8119 | 2017-10-06 |
| 1922520725 | Landmark Anesthesia of Kansas LLC | Nurse Anesthetist, Certified Registered | 6650 W 110th St # 300, Overland Park, KS 66211-1501 | 2017-07-13 |
| 1033648340 | Alexis Zecy | Nurse Anesthetist, Certified Registered | 10203 Bond St, Overland Park, KS 66214-2724 | 2017-06-08 |
| 1386183481 | Melissa Albers | Nurse Anesthetist, Certified Registered | 412 N Mulberry Ct, Gardner, KS 66030-1723 | 2017-02-22 |
| 1700334067 | Superior Anesthesia | Nurse Anesthetist, Certified Registered | 2913 Yaeger Dr, Winfield, KS 67156-8533 | 2016-09-15 |
| 1518316744 | Bree Howard | Nurse Anesthetist, Certified Registered | 2101 Tomahawk Rd, Mission Hills, KS 66208-1950 | 2016-06-08 |
| Find all providers with the same taxonomy | ||||
| City | GREAT BEND |
| Zip Code | 67530 |
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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.