Mary L Rardin (NPI# 1548237753, PAC ID# 6002842937) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1548237753 |
| PAC ID by PECOS | 6002842937 |
| Professional Enrollment ID | I20080206000522 |
| Full Name | Mary L Rardin |
| Organization Legal Name | JEFFERSON COUNTY MEMORIAL HOSPITAL |
| Address |
409 Broadway St Valley Falls KS 66088-1303 |
| Phone Number | 9137744340 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6002868445 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171314 | FW HUSTON MEDICAL CENTER |
| 170137 | LAWRENCE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 409 Broadway St, Valley Falls, KS 66088-1303 | 9137744340 | JEFFERSON COUNTY MEMORIAL HOSPITAL |
| 408 Delaware St, Winchester, KS 66097-4003 | 9137744340 | JEFFERSON COUNTY MEMORIAL HOSPITAL |
| Organization Legal Name | JEFFERSON COUNTY MEMORIAL HOSPITAL |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Greiner | Family Medicine | Jefferson County Memorial Hospital | 15630 Pinehurst Dr, Suite 5, Basehor, KS 66007-8238 |
| Lorene L Stephan | Nurse Practitioner | Jefferson County Memorial Hospital | 408 Delaware St, Winchester, KS 66097-4003 |
| Heather R Aranda | Nurse Practitioner | Jefferson County Memorial Hospital | 15630 Pinehurst Dr, Suite 5, Basehor, KS 66007-8238 |
| Melissa L Conner | Nurse Practitioner | Jefferson County Memorial Hospital | 408 Delaware St, Winchester, KS 66097-4003 |
| Street Address |
409 BROADWAY ST |
| City | VALLEY FALLS |
| State | KS |
| Zip | 66088-1303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bret D Lickteig | Chiropractic | 906 Walnut St Po Box, Suite 186, Valley Falls, KS 66088-0186 | |
| Kristen L Edmonston | Nurse Practitioner | Topeka Physician Group LLC | 403 Sycamore St, Valley Falls, KS 66088-1318 |
| Janet L Dight | Clinical Psychologist | 403 Sycamore St, Valley Falls, KS 66088-1318 |
| City | VALLEY FALLS |
| Zip Code | 66088 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VALLEY FALLS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mary L Rardin.
| 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.