CENTRAL CARE, PA (NPI# 1891335873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891335873 |
| Entity Type | Organization |
| Organization Name | CENTRAL CARE, PA |
| Other Organization Name | CENTRAL CARE CANCER CENTER |
| Practice Address |
8929 Parallel Pkwy Ste G Kansas City KS 66112-1689 |
| Mailing Address |
Po Box 256 Salina KS 67402-0256 |
| Practice Telephone | 9133187821 |
| Practice Fax Number | 8338347630 |
| Mailing Telephone | 7858230633 |
| Mailing Fax Number | 8448544662 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | STACY CLOYD (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 7858230633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Central Care Cancer Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778228 | Central Care, Pa | Radiology | 1004 Carondelet Dr Ste 410, Kansas City, MO 64114-4801 | 2020-10-23 |
| 1174143309 | Central Care, Pa | Pharmacy | 8919 Parallel Pkwy Ste 250, Kansas City, KS 66112-1655 | 2020-04-17 |
| 1578532081 | Central Care, Pa | Internal Medicine | 2337 E Crawford St, Salina, KS 67401 | 2006-03-16 |
| 1891314456 | Central Care, Pa | Non-Pharmacy Dispensing Site | 204 Cleveland St, Great Bend, KS 67530-3563 | 2020-04-14 |
| 1346869088 | Central Care, Pa | Non-Pharmacy Dispensing Site | 305 W 15th St Ste 203, Liberal, KS 67901-2455 | 2020-04-13 |
| 1770102402 | Central Care, Pa | Non-Pharmacy Dispensing Site | 1401 W 12th Ave, Emporia, KS 66801-2570 | 2020-04-13 |
| 1124647847 | Central Care, Pa | Non-Pharmacy Dispensing Site | 730 Medical Center Dr, Newton, KS 67114-8778 | 2020-04-13 |
| 1346869070 | Central Care, Pa | Non-Pharmacy Dispensing Site | 9300 E 29th St N Ste 315, Wichita, KS 67226-2184 | 2020-04-13 |
| 1962021691 | Central Care, Pa | Non-Pharmacy Dispensing Site | 112 W Ross Blvd, Dodge City, KS 67801-7219 | 2020-04-13 |
| 1033738760 | Central Care, Pa | Non-Pharmacy Dispensing Site | 410 E Spruce St, Garden City, KS 67846-5659 | 2020-04-13 |
| Street Address |
8929 PARALLEL PKWY STE G |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66112-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629495502 | Sashidhar Manthravadi | Internal Medicine | 8929 Parallel Pkwy Ste G, Kansas City, KS 66112-1689 | 2014-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740610328 | Diana Alejandra Williams | Social Worker | 7940 Parallel Parkway Ste 2, Kansas City, KS 66112 | 2013-11-19 |
| 1316375835 | Angela Candelario | Social Worker | 7840 Washington Avenue, Kansas City, KS 66112 | 2013-10-18 |
| 1982909891 | Mark Joshua Foland | Emergency Medicine | 8929 Parallel Parwkay, Attn: Emergency Department, Kansas City, KS 66112 | 2011-01-24 |
| 1457655623 | Alvin Edward Johnson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9003 Barnett Ave., Kansas City, KS 66112 | 2011-01-03 |
| 1437383437 | Kurtis Clifton Springstead | Physical Therapist | 7925 State Ave Ste 104, Kansas City, KS 66112 | 2009-05-06 |
| 1215133293 | Linda L Clarkson | Physical Therapy Assistant | Kansas City Presbyterian Manor, 78th and Freeman, Kansas City, KS 66112 | 2007-06-26 |
| 1104033364 | Eric D. Hyde | Physical Therapist | 8929 Parallel Parway, Providence Medical Center-rehabilitation Department, Kansas City, KS 66112 | 2007-05-17 |
| 1578781498 | Kristi Lyn Weaver Rowe | Obstetrics & Gynecology | 8919 Parallel, Ste 580, Women's Clinic Associates, Kansas City, KS 66112 | 2007-04-23 |
| 1346464708 | Souvenir Culanculan Rivera | Nurse Practitioner | Providence Medical Center, 8929 Parallel Parkway, Kansas City, KS 66112 | 2007-04-13 |
| 1205961919 | Mcbratney Optical Boutique | Technician/Technologist | 7702 Parallel Parkway, Kansas City, KS 66112 | 2007-02-22 |
| Find all providers in zip 66112 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778228 | Central Care, Pa | Radiology | 1004 Carondelet Dr Ste 410, Kansas City, MO 64114-4801 | 2020-10-23 |
| 1285948810 | Ronny L Rotondo | Radiology | 4001 Rainbow Blvd # Ms 4033, Kansas City, KS 66160-8504 | 2010-08-06 |
| 1922326958 | Yvonne Thanh-nga D Pham | Radiology | 6601 Winchester Ave Ste 230, Kansas City, MO 64133-4681 | 2010-05-14 |
| 1215168109 | John Ho Park | Radiology | 3901 Rainbow Blvd # Ms 4033, University of Kansas Medical Center, Kansas City, KS 66103-2937 | 2009-07-27 |
| 1568698561 | Gregory Gan | Radiology | 4001 Rainbow Blvd # Ms 4001, Kansas City, KS 66160-4374 | 2009-06-04 |
| 1780720607 | Kansas University Physicians Inc | Radiology | G006 Radiation Oncology, Mail Stop 4033 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1265510309 | Ronald C Chen | Radiology | 4001 Rainbow Blvd, Ms 4033, Kansas City, KS 66160-2539 | 2006-11-02 |
| 1518992981 | Allen M Chen | Radiology | 4001 Rainbow Blvd., Kansas City, KS 66160 | 2006-07-12 |
| 1538123153 | Arthur J Elman | Radiology | 5049 Wornall Rd, #10a, Kansas City, MO 64112-2409 | 2006-04-12 |
| 1831152073 | Terry J Wall | Radiology | 4323 Wornall Rd, Radiation Oncology Dept., Kansas City, MO 64111-3229 | 2006-04-10 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66112 |
Please comment or provide details below to improve the information on CENTRAL CARE, PA.
| 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.