TABOR COLLEGE (NPI# 1811437890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811437890 |
Entity Type | Organization |
Organization Name | TABOR COLLEGE |
Other Organization Name | TABOR COLLEGE SPORTS MEDICINE |
Practice Address |
400 S Jefferson St Hillsboro KS 67063-1753 |
Mailing Address |
5050 Spring Valley Rd. Dallas TX 75244-3909 |
Practice Telephone | 9723674845 |
Enumeration Date | 2017-02-24 |
Last Update Date | 2017-02-24 |
Authorized Official Name | MOUZON BASS III (AGENT) |
Authorized Official Telephone | 9723674845 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
04-34857 | KS | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Tabor College Sports Medicine | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | TABOR COLLEGE, INC. | 400 S Jefferson St, Hillsboro, KS 67063-1753 |
Street Address |
400 S JEFFERSON ST |
City | HILLSBORO |
State | KS |
Zip Code | 67063-1753 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033763651 | Kate Brickell | Specialist/Technologist | 400 S Jefferson St, Hillsboro, KS 67063-1753 | 2019-07-31 |
1669938247 | Madison Eck | Specialist/Technologist | 400 S Jefferson St, Hillsboro, KS 67063-1753 | 2019-02-19 |
1669936639 | Ashlynn Hamm | Specialist/Technologist | 400 S Jefferson St, Hillsboro, KS 67063-1753 | 2019-01-24 |
1124582192 | Shanae Ann Strate | Specialist/Technologist | 400 S Jefferson St, Hillsboro, KS 67063-1753 | 2019-01-24 |
1053890848 | Katelyn Ellis | Specialist/Technologist | 400 S Jefferson St, Hillsboro, KS 67063-1758 | 2018-08-13 |
1225524218 | Makayla Leann Wassenberg | Specialist/Technologist | 400 S Jefferson St, Hillsboro, KS 67063-1753 | 2018-07-03 |
1184110298 | Jordan Lynne Walters | Specialist/Technologist | 400 S Jefferson St, Hillsboro, KS 67063-1753 | 2018-07-02 |
1205388030 | William Money | Specialist/Technologist | 400 S Jefferson St, Hillsboro, KS 67063-1753 | 2016-10-27 |
1790181006 | James Moore | Specialist/Technologist | 400 S Jefferson St, Hillsboro, KS 67063-1753 | 2014-11-13 |
1629485347 | Dan Sigley | Specialist/Technologist | 400 S Jefferson St, Hillsboro, KS 67063-1753 | 2014-07-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538444880 | Joshua L. Smith | Physician Assistant | 704 S. Main St., Hillsboro, KS 67063 | 2011-10-19 |
1275780371 | Cah Acquisition Company 5 LLC | Family Medicine | 101 Industrial Road, Hillsboro, KS 67063 | 2008-08-20 |
1235341595 | Grene Vision Group LLC | Ophthalmology | 132 S Main, Hillsboro, KS 67063 | 2007-05-07 |
1649482290 | Hillsboro Dental Care LLC | Dentist | 119 E Grand, Hillsboro, KS 67063 | 2007-05-04 |
1578645362 | Greenhaw Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 507 N Ash St, Hillsboro, KS 67063 | 2006-10-20 |
1538552666 | Cah Acquisition Company 5 LLC | Clinic/Center | 122 N Main St, Hillsboro, KS 67063 | 2015-03-13 |
1063792919 | Cah Acquisition Company 5 LLC | Clinic/Center | 101 Industrial Road, Hillsboro, KS 67063 | 2011-08-24 |
1801043906 | Cah Acquisition Company 5 LLC | General Acute Care Hospital | 101 Industrial Road, Hillsboro, KS 67063 | 2008-08-20 |
1881841096 | Cah Acquisition Company 5 LLC | Medicare Defined Swing Bed Unit | 101 Industrial Road, Hillsboro, KS 67063 | 2008-08-20 |
1104867878 | Beverly Lynn Martin | Nurse Practitioner | 508 S. Ash, Hillsboro, KS 67063-0185 | 2006-06-10 |
Find all providers in zip 67063 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538138276 | Sekou Carlos Ford | Family Medicine | 18610 Nw Cornell Rd Ste 101, Hillsboro, OR 97124-9206 | 2006-03-15 |
1265090666 | Herington Municipal Hospital | Family Medicine | 108 S Main St, Hillsboro, KS 67063-1526 | 2019-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275828535 | Peter L Loo | Family Medicine | 1101 Sw 29th St, Topeka, KS 66611-1200 | 2011-06-15 |
1225336597 | Primary Care Plus of Leawood LLC | Family Medicine | 4900 W 135th St, Suite 190a, Leawood, KS 66224-8900 | 2011-03-10 |
1174608111 | Jonathan David Schultz | Family Medicine | 12200 W 106th St Ste 400, Overland Park, KS 66215-2305 | 2006-10-26 |
1508956301 | Lawrence M Magee | Family Medicine | Allen Fieldhouse, 1651 Naismith Dr., Lawrence, KS 66045-0001 | 2006-10-13 |
1649781709 | Lawrence Physicians LLC | Family Medicine | 1112 W 6th St Ste 124, Lawrence, KS 66044-2249 | 2017-10-17 |
1043624349 | Emily Nicole Heronemus | Family Medicine | 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049 | 2014-06-13 |
1952662793 | Paul Cleland | Family Medicine | 707 N Emporia St, Wichita, KS 67214-3707 | 2012-06-07 |
1508150830 | Thomas Phillips Jr. | Family Medicine | 7450 W Frontage Rd, Merriam, KS 66203-4670 | 2011-06-03 |
1467750232 | Sports Med Plus of Leawood LLC | Family Medicine | 4800 W 135th St, Suite 190b, Leawood, KS 66224-8720 | 2011-03-03 |
1386955649 | Rausch Medical Clinics, LLC | Family Medicine | 700 W Central Ave, Suite 200, El Dorado, KS 67042-2184 | 2010-07-01 |
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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.