Fredrick Short (NPI# 1780637868, PAC ID# 0244142776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1780637868 |
| PAC ID by PECOS | 0244142776 |
| Professional Enrollment ID | I20050720000819 |
| Full Name | Fredrick Short |
| Organization Legal Name | MID AMERICA SENIOR MANAGEMENT LLC |
| Address |
21107 Donahoo Rd Tonganoxie KS 66086-4153 |
| Phone Number | 9137424084 |
| Gender | M |
| Credential | DO |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | GERIATRIC MEDICINE |
| Group Practice PAC ID | 6406827435 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170014 | RANSOM MEMORIAL HOSPITAL |
| 170049 | OLATHE MEDICAL CENTER |
| 171384 | NEWMAN REGIONAL HEALTH |
| 170104 | SHAWNEE MISSION MEDICAL CENTER |
| 170176 | OVERLAND PARK REG MED CTR |
| Address | Phone | Organization |
|---|---|---|
| 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 | 9137424084 | MID AMERICA SENIOR MANAGEMENT LLC |
| Organization Legal Name | MID AMERICA SENIOR MANAGEMENT LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy S Alagna | Nurse Practitioner | Mid America Senior Management LLC | 16600 W 126th St, Villa St Francis, Olathe, KS 66062-1184 |
| Roger J Bidwell | Nurse Practitioner | Mid America Senior Management LLC | 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 |
| Mark I Petersen | Internal Medicine | Mid America Senior Management LLC | 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 |
| Tamra L Huntsman | Nurse Practitioner | Mid America Senior Management LLC | 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 |
| Street Address |
21107 DONAHOO RD |
| City | TONGANOXIE |
| State | KS |
| Zip | 66086-4153 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger J Bidwell | Nurse Practitioner | Mid America Senior Management LLC | 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 |
| Mark I Petersen | Internal Medicine | Mid America Senior Management LLC | 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 |
| Tamra L Huntsman | Nurse Practitioner | Mid America Senior Management LLC | 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorelei M Sunderland | Nurse Practitioner | Lawrence Physicians LLC | 410 Woodfield Dr, Family Medicine of Tonganoxie, Tonganoxie, KS 66086-5443 |
| Jason Foster | Family Medicine | Lawrence Physicians LLC | 410 Woodfield Dr, Family Medicine of Tonganoxie, Tonganoxie, KS 66086-5443 |
| William Weatherford | Family Medicine | Lawrence Physicians LLC | 410 Woodfield Dr, Family Medicine of Tonganoxie, Tonganoxie, KS 66086-5443 |
| Scott D Ford | Chiropractic | 200 W St, Tonganoxie, KS 66086-8927 | |
| Martha L Aitkens | Chiropractic | 200 W St, Tonganoxie, KS 66086-8927 | |
| Richard Edward Dean | Optometry | 420 E 4th St, Tonganoxie, KS 66086-9218 | |
| John H Henderson Jr. | Psychiatry | 1010 E St, Tonganoxie, KS 66086-9557 | |
| Marty C Brown | Physical Therapy | Physical Therapy Solutions LLC | 1198 Front St, Tonganoxie, KS 66086-9707 |
| Robert R Schuck | Chiropractic | Midwest Chiropractic Center, Pa | 1198 Front St, Tonganoxie, KS 66086-9707 |
| Michelle Renee Walker | Physical Therapy | Physical Therapy Solutions LLC | 1198 Front St, Tonganoxie, KS 66086-9707 |
| Find all physicians in zip 66086 | |||
| City | TONGANOXIE |
| Zip Code | 66086 |
| Specialty | GERIATRIC MEDICINE |
| City + Specialty | TONGANOXIE + GERIATRIC MEDICINE |
Please comment or provide details below to improve the information on Fredrick Short.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.