Jerry L Old (NPI# 1285731752, PAC ID# 3779524764) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1285731752 |
| PAC ID by PECOS | 3779524764 |
| Professional Enrollment ID | I20050519000872 |
| Full Name | Jerry L Old |
| Organization Legal Name | COMMUNITY HEALTH CENTER IN COWLEY COUNTY INC |
| Address |
221 W 8th Ave Winfield KS 67156-2718 |
| Phone Number | 6202213350 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9537473095 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171383 | WILLIAM NEWTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 221 W 8th Ave, Winfield, KS 67156-2718 | 6202213350 | COMMUNITY HEALTH CENTER IN COWLEY COUNTY INC |
| Organization Legal Name | COMMUNITY HEALTH CENTER IN COWLEY COUNTY INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle L Tipton | Clinical Social Worker | Community Health Center In Cowley County Inc | 221 W 8th Ave, Winfield, KS 67156-2718 |
| Treasure A Wehner | General Practice | Community Health Center In Cowley County Inc | 221 W 8th Ave, Winfield, KS 67156-2718 |
| Michelle R Blair-wunderlich | Nurse Practitioner | Community Health Center In Cowley County Inc | 221 W 8th Ave, Winfield, KS 67156-2718 |
| Street Address |
221 W 8TH AVE |
| City | WINFIELD |
| State | KS |
| Zip | 67156-2718 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle L Tipton | Clinical Social Worker | Community Health Center In Cowley County Inc | 221 W 8th Ave, Winfield, KS 67156-2718 |
| Treasure A Wehner | General Practice | Community Health Center In Cowley County Inc | 221 W 8th Ave, Winfield, KS 67156-2718 |
| Michelle R Blair-wunderlich | Nurse Practitioner | Community Health Center In Cowley County Inc | 221 W 8th Ave, Winfield, KS 67156-2718 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Bryant | Radiation Oncology | Ascension Via Christi Hospitals Wichita Inc | 1305 E 5th Ave, Winfield, KS 67156-2406 |
| Bassam I Mattar | Hematology/oncology | Cancer Center of Kansas.p.a. | 1305 W, 5th, Winfield, KS 67156-2406 |
| Jeryl G Fullen | Orthopedic Surgery | 1305 E 5th Ave, Winfield, KS 67156-2406 | |
| Cynthia A Groene | Nurse Practitioner | Cancer Center of Kansas.p.a. | 1305 W, 5th, Winfield, KS 67156-2406 |
| Shaker R Dakhil | Hematology/oncology | Cancer Center of Kansas.p.a. | 1305 W, 5th, Winfield, KS 67156-2406 |
| Jon C Anders | Radiation Oncology | Cancer Center of Kansas.p.a. | 1305 W, 5th, Winfield, KS 67156-2406 |
| Shana Jarmer | Family Medicine | Cancer Center of Kansas.p.a. | 1305 W, 5th, Winfield, KS 67156-2406 |
| Christopher Sr Dakhil | Hematology/oncology | Cancer Center of Kansas.p.a. | 1305 W, 5th, Winfield, KS 67156-2406 |
| David W Jordan | Certified Registered Nurse Anesthetist (crna) | South Central Anesthesia LLP | 1300 E 5th Ave, Winfield, KS 67156-2407 |
| Ronald L Altman | Certified Registered Nurse Anesthetist (crna) | South Central Anesthesia LLP | 1300 E 5th Ave, Winfield, KS 67156-2407 |
| Find all physicians in zip 67156 | |||
| City | WINFIELD |
| Zip Code | 67156 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WINFIELD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jerry L Old.
| 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.