MR. LEROY E SHUGART (NPI# 1861440026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861440026 |
| Entity Type | Individual |
| Full Name | MR. LEROY E SHUGART |
| Credential | P.A. |
| Practice Address |
750 W D Ave Kingman KS 67068-1266 |
| Mailing Address |
1119 Countryside Dr Mcpherson KS 67460-2109 |
| Practice Telephone | 6205323147 |
| Practice Fax Number | 6205323147 |
| Mailing Telephone | 6202414205 |
| Mailing Fax Number | 6205320167 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1500190 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
750 W D AVE |
| City | KINGMAN |
| State | KS |
| Zip Code | 67068-1266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629956 | Ninnescah Valley Health Systems, Inc. | General Acute Care Hospital | 750 W D Ave, Kingman, KS 67068-1266 | 2005-09-19 |
| 1659927051 | Emily Ione Leis | Dietitian, Registered | 750 W D Ave, Kingman, KS 67068-1266 | 2019-08-13 |
| 1609371269 | Amber Girrens | Dietitian, Registered | 750 W D Ave, Kingman, KS 67068 | 2018-03-27 |
| 1548591126 | Christopher H Surtman Dpm LLC | Podiatrist | 750 W D Ave, Kingman, KS 67068-1266 | 2010-01-21 |
| 1073751426 | Rochelle Dawn Harden | Audiologist | 750 W D Ave, Kingman, KS 67068-1266 | 2009-01-22 |
| 1841418167 | Alliance Imaging Inc | Clinic/Center | 750 W D Ave, Kingman, KS 67068 | 2007-04-23 |
| 1477650703 | Krishnakumar M Kotecha | Radiology | 750 W D Ave, Kingman, KS 67068 | 2006-09-20 |
| 1194759787 | Christopher Henry Surtman | Podiatrist | 750 W D Ave, Kingman, KS 67068-1266 | 2006-07-10 |
| 1063467728 | Kathleen S Prilliman | Nurse Practitioner | 750 W D Ave, Kingman, KS 67068-1266 | 2006-05-23 |
| 1386602977 | Ninnescah Valley Health Systems, Inc. | Home Health | 750 W D Ave, Kingman, KS 67068-1266 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740701788 | Meredith Voran | Pharmacist | 211 N. Main, Kingman, KS 67068 | 2017-06-29 |
| 1770785362 | Kingman County Family Medicine,llc | Family Medicine | 132 West A Street, Kingman, KS 67068 | 2007-06-05 |
| 1952400558 | Rudolph Charles Sasina | Chiropractor | 108 N. Main St., Kingman, KS 67068 | 2006-09-21 |
| 1124083308 | Line Medical Inc | Radiology | 750 Avenue D West, Kingman, KS 67068 | 2006-04-19 |
| 1699746651 | Marsha Stineman Crna Ms Pa | Nurse Anesthetist, Certified Registered | 750 West D Ave, Kingman, KS 67068 | 2006-01-30 |
| 1538147236 | Richard E Davis | Dentist | 126 West Ave B, Kingman, KS 67068 | 2006-01-04 |
| 1376901033 | Elizabeth Cramer | Registered Nurse | 760 W D Ave, Kingman, KS 67068 | 2016-02-09 |
| 1821127044 | Ninnescah Valley Health Systems | Home Health | 750 West D Ave, Kingman, KS 67068 | 2007-03-05 |
| 1962472928 | Marsha Ruth Stineman | Nurse Anesthetist, Certified Registered | 750 Ave D West, Kingman, KS 67068 | 2006-01-24 |
| 1912158221 | Cancer Center of Kansas, P.a. | Internal Medicine | 750 Avenue D, Kingman, KS 67068-0376 | 2008-10-06 |
| Find all providers in zip 67068 | ||||
| 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 |
|---|---|---|---|---|
| 1235314089 | Ann Marie Garibaldi | Physician Assistant | 2226 Hualapai Mountain Rd Ste 101, Kingman, AZ 86401-8374 | 2007-12-28 |
| 1720059876 | Kathryn A Kimpler | Physician Assistant | 701 E A Ave, Kingman, KS 67068-1723 | 2006-01-27 |
| 1992792758 | Kurtis A Manley | Physician Assistant | 2226 Hualapai Mountain Rd, Kingman, AZ 86401-8374 | 2005-10-05 |
| 1194350454 | Jeremy Bird | Physician Assistant | 3801 Santa Rosa Dr Ste 400, Kingman, AZ 86401-2311 | 2020-03-06 |
| 1134681281 | Binh Thanh Nguyen | Physician Assistant | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2019-04-05 |
| 1598243149 | Kaylee Mason Herrero | Physician Assistant | 1739 E Beverly Ave Ste 102, Kingman, AZ 86409-3593 | 2018-08-04 |
| 1689172629 | Victoria Rossi | Physician Assistant | 3801 Santa Rosa Dr, Kingman, AZ 86401 | 2018-01-24 |
| 1508245333 | Sarah Lybrand | Physician Assistant | 1739 E Beverly Ave, Suite 102, Kingman, AZ 86409-3593 | 2015-05-26 |
| 1760735880 | Raice R Nelson | Physician Assistant | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2012-10-26 |
| 1225381858 | Jennifer Lauren Azbill | Physician Assistant | 3269 Stockton Hill Rd, Kingman, AZ 86409 | 2012-10-19 |
| Find all providers in KINGMAN | ||||
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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.