VAN JONES DO AN OPERATING DIVISION OF PROVIDENCE MEDICAL CENTER


Address: 712 1st Ter, Suite C, Lansing, KS 66043-1735
Phone: 9136826950

VAN JONES DO AN OPERATING DIVISION OF PROVIDENCE MEDICAL CENTER (NPI# 1982870671) 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) 1982870671
Entity Type Organization
Organization Name VAN JONES DO AN OPERATING DIVISION OF PROVIDENCE MEDICAL CENTER
Practice Address 712 1st Ter
Suite C
Lansing
KS 66043-1735
Mailing Address Po Box 12352
Kansas City
KS 66112-0352
Practice Telephone 9136826950
Practice Fax Number 9136828523
Mailing Telephone 9138256512
Mailing Fax Number 9133287011
Enumeration Date 2008-05-02
Last Update Date 2008-05-02
Authorized Official Name MR. MICHAEL A DORSEY (CEO)
Authorized Official Telephone 9135964000
Is Organization Subpart Y
Parent Organization Name PROVIDENCE MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Office Location

Street Address 712 1ST TER
SUITE C
City LANSING
State KS
Zip Code 66043-1735

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407851462 Brian W Klamm Physical Therapist 712 1st Ter, Ste 103, Lansing, KS 66043-1735 2005-06-16
1780068908 Katherine Mcnally Physical Therapist 712 1st Ter, Ste 103, Lansing, KS 66043-1735 2015-07-17
1598147183 Jeffrey Hubka Physical Therapist 712 1st Ter, Ste 103, Lansing, KS 66043-1735 2015-06-19
1093108144 Katherine Marie Martin Physical Therapist 712 1st Ter, Ste 103, Lansing, KS 66043-1735 2015-03-13
1164838876 Trisha M. Mcculloch Physical Therapist 712 1st Ter, Ste 103, Lansing, KS 66043-1735 2014-07-02
1982017810 Sara A Redlin Physical Therapist 712 1st Ter, Ste 103, Lansing, KS 66043-1735 2014-06-09
1841602737 Madeline M Mccann Physical Therapist 712 1st Ter, Ste 103, Lansing, KS 66043-1735 2014-05-27
1346684321 Kelsey Lea Beach Physical Therapist 712 1st Ter, Ste 103, Lansing, KS 66043-1735 2013-04-22
1326391616 Jenna Marie Cordel Occupational Therapist 712 1st Ter, Ste 103, Lansing, KS 66043-1735 2012-10-24
1669750618 Larissa M Nixon Physical Therapist 712 1st Ter, Ste 103, Lansing, KS 66043-1735 2011-07-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083104673 Andersen Medical Group, LLC Family Medicine 712 1st Ter # 205, Lansing, KS 66043 2018-05-18
1205210580 Julie Ascher Specialist/Technologist 1412 147th Street, Lansing, KS 66043 2015-07-16
1164804324 Erin D. Grosshuesch Occupational Therapist 757 W. Eisenhower, Lansing, KS 66043 2015-06-24
1043601669 Rhonda Vaughn Physical Therapy Assistant 757 Eisenhower Rd, Lansing, KS 66043 2015-02-18
1386985091 Debbie Ann Name Physician Assistant 720 First Terrace, Lansing, KS 66043 2013-03-05
1972768786 Shayla Leann Kramer Physical Therapist 757 W Eisenhower, Lansing, KS 66043 2008-07-21
1780626945 Jack Craig Stewart Dentist 615 Holiday Plaza, Lansing, KS 66043 2006-06-12
1518018837 Vivek Sahgal, Md, Pa Internal Medicine 1004 Progress Dr, Ste 130, Lansing, KS 66043 2007-01-15
1134472640 Twin Oaks Health and Rehab Operations, LLC Skilled Nursing Facility 757 W Eisenhower, Lansing, KS 66043-1110 2012-10-22
1750531281 Janice M Gunter Registered Nurse 608 Valley Dr, Lansing, KS 66043-1235 2008-09-20
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679623334 Cardiology Consultants PC Internal Medicine 5848 Executive Dr, Lansing, MI 48911 2007-01-12
1821197435 Ramanathan Nagappan Internal Medicine 1200 E Michigan Ave Ste 725, Lansing, MI 48912-1832 2006-09-21
1033171673 Paul Goldshlack Internal Medicine 1433 E Michigan Ave, Lansing, MI 48912-2111 2006-04-06
1851365407 Jwala Prasad Internal Medicine 5848 Executive Drive, Lansing, MI 48911 2006-02-13
1255339263 Nam S Cho Internal Medicine 1140 E Michigan Ave Ste 400, Lansing, MI 48912-1806 2005-07-13
1255339115 Edward T Helble Internal Medicine 3960 Patient Care Dr Ste 109, Lansing, MI 48911-4276 2005-07-13
1245737402 Edward W Sparrow Hospital Association Internal Medicine 1140 E Michigan Ave Ste 400, Lansing, MI 48912 2018-04-12
1396165676 David W Mccomb Internal Medicine 401 W Greenlawn Ave, Lansing, MI 48910-2819 2014-04-24
1801109954 Sonali Arora Internal Medicine 1140 E Michigan Ave Ste 400, Lansing, MI 48912-1806 2010-07-19
1013148048 Ali H. Sheikh Internal Medicine 1140 E Michigan Ave Ste 400, Lansing, MI 48912-1806 2009-08-07
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City LANSING
Zip Code 66043

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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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