TABOR COLLEGE


Address: 400 S Jefferson St, Hillsboro, KS 67063-1753
Phone: 9723674845

TABOR COLLEGE (NPI# 1811437890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
04-34857 KS Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Tabor College Sports Medicine Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities TABOR COLLEGE, INC. 400 S Jefferson St, Hillsboro, KS 67063-1753

Office Location

Street Address 400 S JEFFERSON ST
City HILLSBORO
State KS
Zip Code 67063-1753

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City HILLSBORO
Zip Code 67063

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Dataset Information

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.

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