MR. DAVID L SHORT (NPI# 1831110527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831110527 |
| Entity Type | Individual |
| Full Name | MR. DAVID L SHORT |
| Credential | PA-C |
| Practice Address |
300 W North St Sedan KS 67361-1051 |
| Mailing Address |
Po Box 308 300 North Street Sedan KS 67361-0308 |
| Practice Telephone | 6207253818 |
| Practice Fax Number | 6207255433 |
| Mailing Telephone | 6207253818 |
| Mailing Fax Number | 6207255433 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 15-00692 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | DEA NUMBER | MS0554457 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134184153 | David George Short | Allergy & Immunology | 1025 Michigan Avenue, Suite 215, Logansport, IN 46947-1594 | 2006-04-20 |
| 1043736432 | David William Short Jr. | Home Health Aide | 4506 Quarles St Ne Apt B2, Washington, DC 20019-2020 | 2017-08-17 |
| 1730543547 | David H Short | Internal Medicine | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2016-04-07 |
| 1104131747 | David James Short | Psychologist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2010-08-06 |
| 1821152307 | David Short | Physician Assistant | 201 E University Pkwy, Baltimore, MD 21218-2829 | 2006-12-20 |
| 1588694178 | David A Short | Family Medicine | 2510 Airpark Dr, Suite 201, Redding, CA 96001-2449 | 2006-07-03 |
| 1689648446 | David D Short | Pharmacist | 601 John St, Kalamazoo, MI 49007-5341 | 2006-02-16 |
| Street Address |
300 W NORTH ST |
| City | SEDAN |
| State | KS |
| Zip Code | 67361-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114277 | Sedan City Hospital | General Acute Care Hospital | 300 W North St, Sedan, KS 67361-1051 | 2005-06-15 |
| 1215575956 | Mia Danielle Stroble | Nurse Practitioner | 300 W North St, Sedan, KS 67361-1051 | 2019-12-12 |
| 1194388843 | Katelyn Osborn | Speech-Language Pathologist | 300 W North St, Sedan, KS 67361-1051 | 2019-04-18 |
| 1730580887 | Bethany Anne Lear | Dietitian, Registered | 300 W North St, Sedan, KS 67361-1051 | 2014-09-09 |
| 1043629413 | Wade Matherly | Physician Assistant | 300 W North St, Sedan, KS 67361-1051 | 2014-08-10 |
| 1376951863 | Levi Lear | Physician Assistant | 300 W North St, Sedan, KS 67361-1051 | 2014-07-28 |
| 1750725065 | Marie J Strickler | Physical Therapy Assistant | 300 W North St, Sedan, KS 67361-1051 | 2013-04-18 |
| 1598904633 | Lori Ann Ridder | Physician Assistant | 300 W North St, Sedan, KS 67361-1051 | 2009-02-12 |
| 1831231315 | Shirley Hanley Black | Nurse Practitioner | 300 W North St, Sedan, KS 67361-1051 | 2007-02-13 |
| 1710058466 | Sedan City Hospital | Emergency Medicine | 300 W North St, Sedan, KS 67361-1051 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740351493 | Sedan City Hospital | General Acute Care Hospital | 300 North Street, Sedan, KS 67361-1051 | 2006-11-13 |
| 1437580289 | Raymond Brown | Contractor | 502 Dwarf St, Sedan, KS 67361-1132 | 2013-12-04 |
| 1215978093 | Derrick W. Kimball | Chiropractor | 127 N Chautauqua St, Sedan, KS 67361-1301 | 2006-06-10 |
| 1457580888 | Chautauqua Co Community Usd 286 | Local Education Agency (LEA) | 302 Sherman St, Sedan, KS 67361-1324 | 2009-07-07 |
| 1427184431 | Chautauqua County Home Health Agency | Home Health | 215 N Chautauqua St, Sedan, KS 67361-1326 | 2007-02-26 |
| 1154458081 | County of Chautauqua | Clinic/Center | 215 N Chautauqua St, Sedan, KS 67361-1326 | 2007-02-27 |
| 1043218738 | Pleasant Valley Nursing, LLC | Skilled Nursing Facility | 613 E Elm St, Sedan, KS 67361-1406 | 2005-07-07 |
| 1255834529 | Daniel Sellers | Physical Therapist | 613 E Elm St, Sedan, KS 67361-1406 | 2018-03-13 |
| 1730470519 | Debra Sue Hill | Physical Therapy Assistant | 613 E Elm St, Sedan, KS 67361-1406 | 2011-04-27 |
| 1174686745 | Joan Gail Rajacich | Chiropractor | 311 E Elm St, Sedan, KS 67361-1416 | 2006-12-18 |
| Find all providers in zip 67361 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043629413 | Wade Matherly | Physician Assistant | 300 W North St, Sedan, KS 67361-1051 | 2014-08-10 |
| 1598904633 | Lori Ann Ridder | Physician Assistant | 300 W North St, Sedan, KS 67361-1051 | 2009-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567783 | Shelby Stewart | Physician Assistant | 1409 Washington Cir, Hays, KS 67601-4716 | 2020-10-27 |
| 1154935724 | Kendra Elizabeth Rogers | Physician Assistant | 8111 Quivira Rd Apt 12106, Lenexa, KS 66215-2772 | 2020-09-01 |
| 1962020024 | Cody Allen Miller | Physician Assistant | 7201 W 80th St Apt 602, Overland Park, KS 66204-3773 | 2020-07-06 |
| 1881210417 | Jordan Rachelle Haya | Physician Assistant | 607 Prairie Ave, Maple Hill, KS 66507-9808 | 2020-06-19 |
| 1881219483 | Sheila Mwadime | Physician Assistant | 10245 Millstone Dr Apt 7110, Lenexa, KS 66220-2711 | 2020-06-10 |
| 1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
| 1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
| 1194348706 | Andrew John Lopata | Physician Assistant | 1315 N Walnut St, Mcpherson, KS 67460-2434 | 2020-05-19 |
| 1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
| 1033731674 | Sydnee Rose Eck | Physician Assistant | 345 Sevy, Andale, KS 67001-4003 | 2020-05-16 |
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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.