DR. BROCK JAMES JUFFS (NPI# 1932629300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932629300 |
| Entity Type | Individual |
| Full Name | DR. BROCK JAMES JUFFS |
| Credential | MD |
| Practice Address |
1400 W 4th St Coffeyville KS 67337-3306 |
| Mailing Address |
Po Box 505262 Saint Louis MO 63150-5262 |
| Practice Telephone | 6206886566 |
| Mailing Telephone | 2068865666 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2020-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0443459 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
1400 W 4TH ST |
| City | COFFEYVILLE |
| State | KS |
| Zip Code | 67337-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073510764 | Mary Beth Hartley | Nurse Practitioner | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2005-07-07 |
| 1902403801 | Bridget Catherine Eloise Vargas | Nurse Practitioner | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2020-10-04 |
| 1982229266 | Allison Nichole Littleford | Nurse Practitioner | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2020-06-11 |
| 1144794843 | Chad Young Mccready | Physician Assistant | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2019-01-15 |
| 1629579941 | Coffeyville Regional Medical Center, Inc. | Medicare Defined Swing Bed Unit | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2018-02-22 |
| 1205340445 | Julia Dawn Moses | Nurse Anesthetist, Certified Registered | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2017-11-27 |
| 1700302304 | Judy Ann Carpenter | Nurse Practitioner | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2017-08-16 |
| 1639607781 | Heather Lee Pollet | Registered Nurse | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2017-06-01 |
| 1740714575 | Peer Medical Imaging Interpretation LLC | Radiology | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2017-04-19 |
| 1053862805 | Coffeyville Regional Medical Center Inc | Clinic/Center | 1400 W 4th St, Ste 100, Coffeyville, KS 67337-3306 | 2016-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858471 | Colby Robert Andreasen-cannon | Pharmacist | 1863 5300 Rd, Coffeyville, KS 67337 | 2020-07-14 |
| 1558917245 | Zachary James Newman | Case Manager/Care Coordinator | 1601 West 4th Street, Coffeyville, KS 67337 | 2019-08-18 |
| 1669725396 | Traeger Nelson Tvedten | Chiropractor | 411 1/2 West 11th Street, Coffeyville, KS 67337 | 2012-10-18 |
| 1831408020 | Carrie Lane Strimple | Family Medicine | 1505 W 11th St Ste C, Coffeyville, KS 67337 | 2010-10-05 |
| 1093047185 | Terry D Powell Radiation Oncologist, Inc. | Radiology | 1400 W 4th St, Radiation Oncology Dept, Coffeyville, KS 67337 | 2010-02-01 |
| 1649446931 | Windsor Place At Home Care LLC | Technician | 415 W 11th, Coffeyville, KS 67337 | 2008-05-06 |
| 1679668115 | Daniel H Chappell | Obstetrics & Gynecology | 801 W 8th St., Coffeyville, KS 67337 | 2006-10-03 |
| 1760582878 | Jack S Bell | Physician Assistant | 1411 W 4th, Suite G, Coffeyville, KS 67337 | 2006-09-25 |
| 1114026937 | Stephen A Miller | Obstetrics & Gynecology | 1717 West Eighth, Coffeyville, KS 67337 | 2006-09-21 |
| 1285600379 | Coffeyville Regional Medical Center, Inc. | General Acute Care Hospital | 1400 W 4th Street, Coffeyville, KS 67337 | 2006-02-27 |
| Find all providers in zip 67337 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831408020 | Carrie Lane Strimple | Family Medicine | 1505 W 11th St Ste C, Coffeyville, KS 67337 | 2010-10-05 |
| 1811189269 | Tejaswi Bhari Thippeswamy | Family Medicine | 1400 W 4th, Coffeyville, KS 67337-3306 | 2007-08-09 |
| 1699753830 | Allen Dean Gillis | Family Medicine | 209 W 7th St, Coffeyville, KS 67337-4903 | 2006-01-06 |
| 1437463593 | Shravan Kumar Reddy Gangula | Family Medicine | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2010-07-31 |
| 1780872994 | Feyisetan Lott | Family Medicine | 801 W 8th St, Coffeyville, KS 67337-4109 | 2007-10-12 |
| 1669531570 | Timothy A Belcher | Family Medicine | 1400 W 4th Street, Coffeyville Regional Medical Center Er Department, Coffeyville, KS 67337 | 2006-12-06 |
| 1144329061 | Coffeyville Doctors Clinic P A | Family Medicine | 801 W 8th St, Coffeyville, KS 67337-4109 | 2006-09-21 |
| 1538271135 | Geeta Sandhu | Family Medicine | 801 W 8th St, Coffeyville, KS 67337-4109 | 2006-08-31 |
| 1467412940 | Meggin Blex | Family Medicine | 1411 W 4th St, Building C, Coffeyville, KS 67337-3300 | 2006-03-27 |
| 1083689327 | Coffeyville Family Practice Clinic, P.a. | Family Medicine | 209 W 7th St, Coffeyville, KS 67337-4903 | 2006-02-21 |
| Find all providers in COFFEYVILLE | ||||
| City | COFFEYVILLE |
| Zip Code | 67337 |
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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.