DR. GARRICK A RETTELE (NPI# 1801892898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801892898 |
| Entity Type | Individual |
| Full Name | DR. GARRICK A RETTELE |
| Credential | MD |
| Practice Address |
1411 W 4th St Ste D Coffeyville KS 67337-3300 |
| Practice Telephone | 6202513235 |
| Practice Fax Number | 6202513252 |
| Mailing Telephone | 6202513235 |
| Mailing Fax Number | 6202513252 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2008-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 04-26308 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS OF KS | 041849 | 01 |
| KS | 100190920A | 05 |
| Street Address |
1411 W 4TH ST STE D |
| City | COFFEYVILLE |
| State | KS |
| Zip Code | 67337-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104096122 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1411 W 4th St, Ste C, Coffeyville, KS 67337-3300 | 2008-03-05 |
| 1154544708 | Joseph Maylen Miller | Social Worker | 1411 W 4th St, Family Consultation Services Ste C, Coffeyville, KS 67337-3300 | 2007-04-11 |
| 1720179625 | Health Partners of America LLC | Physician Assistant | 1411 W 4th St, Suite G, Coffeyville, KS 67337 | 2006-09-27 |
| 1073566535 | American Sleep Diagnostics LLC | Clinical Medical Laboratory | 1411 W 4th St, Suite F, Coffeyville, KS 67337-3300 | 2006-05-18 |
| 1467412940 | Meggin Blex | Family Medicine | 1411 W 4th St, Building C, Coffeyville, KS 67337-3300 | 2006-03-27 |
| 1760450449 | Jimmy Lee Powell | Technician/Technologist | 1411 W 4th St, Coffeyville, KS 67337-3300 | 2006-03-09 |
| 1144297581 | Southeast Kansas Eye Care Associates, P.a. | Ophthalmology | 1411 W 4th St, Suite D, Coffeyville, KS 67337-3300 | 2006-03-03 |
| 1417948969 | M&t Diagnostic Lab Services | Clinical Medical Laboratory | 1411 W 4th St, Coffeyville, KS 67337-3300 | 2005-11-03 |
| 1578560207 | Maxime Jean-marie Coles | Orthopaedic Surgery | 1411 W 4th St, Building C, Coffeyville, KS 67337-3300 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858471 | Colby Robert Andreasen-cannon | Pharmacist | 1863 5300 Rd, Coffeyville, KS 67337 | 2020-07-14 |
| 1558917245 | Zachary James Newman | Case Manager/Care Coordinator | 1601 West 4th Street, Coffeyville, KS 67337 | 2019-08-18 |
| 1669725396 | Traeger Nelson Tvedten | Chiropractor | 411 1/2 West 11th Street, Coffeyville, KS 67337 | 2012-10-18 |
| 1831408020 | Carrie Lane Strimple | Family Medicine | 1505 W 11th St Ste C, Coffeyville, KS 67337 | 2010-10-05 |
| 1093047185 | Terry D Powell Radiation Oncologist, Inc. | Radiology | 1400 W 4th St, Radiation Oncology Dept, Coffeyville, KS 67337 | 2010-02-01 |
| 1649446931 | Windsor Place At Home Care LLC | Technician | 415 W 11th, Coffeyville, KS 67337 | 2008-05-06 |
| 1679668115 | Daniel H Chappell | Obstetrics & Gynecology | 801 W 8th St., Coffeyville, KS 67337 | 2006-10-03 |
| 1760582878 | Jack S Bell | Physician Assistant | 1411 W 4th, Suite G, Coffeyville, KS 67337 | 2006-09-25 |
| 1114026937 | Stephen A Miller | Obstetrics & Gynecology | 1717 West Eighth, Coffeyville, KS 67337 | 2006-09-21 |
| 1285600379 | Coffeyville Regional Medical Center, Inc. | General Acute Care Hospital | 1400 W 4th Street, Coffeyville, KS 67337 | 2006-02-27 |
| Find all providers in zip 67337 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144297581 | Southeast Kansas Eye Care Associates, P.a. | Ophthalmology | 1411 W 4th St, Suite D, Coffeyville, KS 67337-3300 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211728 | Ft Scott Surgery Center LLC | Ophthalmology | 916 Us 69, Fort Scott, KS 66701 | 2020-09-25 |
| 1770016727 | Ad Astra Eye, LLC | Ophthalmology | 17795 W 106th St Ste 202, Olathe, KS 66061-3155 | 2017-04-06 |
| 1992152698 | Stanley Lowe | Ophthalmology | 2025 College Heights Rd, Manhattan, KS 66502-3505 | 2016-05-23 |
| 1750778791 | Heartland Eye Care, LLC | Ophthalmology | 619 Sw Corporate Vw, Topeka, KS 66615-1233 | 2015-04-16 |
| 1245572916 | Daniel Lawrence Feiler | Ophthalmology | 9301 West 74th Street, Suite 210, Shawnee Mission, KS 66204-2235 | 2013-03-20 |
| 1235473448 | Prn Imaging, LLC | Ophthalmology | 10851 Mastin St Ste 100, Overland Park, KS 66210-1608 | 2012-11-15 |
| 1861744716 | Prn Billing LLC | Ophthalmology | 10851 Mastin St, Suite 100, Overland Park, KS 66210-1769 | 2012-10-02 |
| 1760779722 | Mary T Champion | Ophthalmology | 7400 State Line Rd Ste 100, Prairie Village, KS 66208-3447 | 2011-06-28 |
| 1811295256 | William Frederick Case | Ophthalmology | 4705 W 152nd St, Leawood, KS 66224-9726 | 2011-03-09 |
| 1326368408 | Raymond E Kandt Jr. | Ophthalmology | 4950 W 88th St, Prairie Village, KS 66207-2257 | 2010-06-10 |
| Find all providers with the same taxonomy | ||||
| City | COFFEYVILLE |
| Zip Code | 67337 |
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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.