Sandra K Tabor (NPI# 1316235351, PAC ID# 8325217292) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316235351 |
| PAC ID by PECOS | 8325217292 |
| Professional Enrollment ID | I20110810000211 |
| Full Name | Sandra K Tabor |
| Organization Legal Name | MY KIDNEY CENTER LLC |
| Address |
1133 College Ave B266 Manhattan KS 66502-2700 |
| Phone Number | 7855659500 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3274770136 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170142 | MERCY REGIONAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1133 College Ave, B266, Manhattan, KS 66502-2700 | 7855659500 | MY KIDNEY CENTER LLC |
| 1133 College Ave B, Manhattan, KS 66502-2770 | 7855659500 | MY KIDNEY CENTER LLC |
| Organization Legal Name | MY KIDNEY CENTER LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fadi Victor Bedros | Nephrology | My Kidney Center LLC | 1133 College Ave, B266, Manhattan, KS 66502-2700 |
| Keith William Kramer | Nephrology | My Kidney Center LLC | 1133 College Ave, B266, Manhattan, KS 66502-2700 |
| Street Address |
1133 COLLEGE AVE B266 |
| City | MANHATTAN |
| State | KS |
| Zip | 66502-2700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curtis G Mick | Diagnostic Radiology | Manhattan Radiology LLP | 1133 College Ave, Suite C143, Manhattan, KS 66502-2751 |
| Bradley K Harrison | Family Medicine | Manhattan Primary Care LLC | 1133 College Ave, Suite 211, Manhattan, KS 66502-2770 |
| Deanna M Delli-pizzi | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 1133 College Ave, Suite E110, Manhattan, KS 66502-2813 |
| Summer Huncovsky | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 1133 College Ave, Suite E110, Manhattan, KS 66502-2813 |
| Kerri M Maxcy | Physician Assistant | Manhattan Primary Care LLC | 1133 College Ave, Suite 211, Manhattan, KS 66502-2770 |
| Regan Dulin | Family Medicine | Cotton Oneil Clinic Revocable Trust | 1133 College Ave, Suite E110, Manhattan, KS 66502-2813 |
| Cassidy Taylor | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 1133 College Ave, Suite E110, Manhattan, KS 66502-2813 |
| Holly M Brannen | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 1133 College Ave, Suite E110, Manhattan, KS 66502-2813 |
| Aileen C Mccarthy | Internal Medicine | Cotton Oneil Clinic Revocable Trust | 1133 College Ave, Suite E110, Manhattan, KS 66502-2813 |
| Leah R Finkeldei | Physician Assistant | Cotton Oneil Clinic Revocable Trust | 1133 College Ave, Suite E110, Manhattan, KS 66502-2813 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nanda N Kumar | Neurology | 1133 College Ave, Suite B224, Manhattan, KS 66502-1300 | |
| Fadi Victor Bedros | Nephrology | My Kidney Center LLC | 1133 College Ave, B266, Manhattan, KS 66502-2700 |
| Keith William Kramer | Nephrology | My Kidney Center LLC | 1133 College Ave, B266, Manhattan, KS 66502-2700 |
| Peggy S Peterson | Pathology | Peterson Laboratory Services Pa | 1133 College Ave, Suite B131, Manhattan, KS 66502-2700 |
| Shawn J Le Doux | Pathology | Peterson Laboratory Services Pa | 1133 College Ave, Suite B131, Manhattan, KS 66502-2700 |
| Tarek A Salem | Pathology | Peterson Laboratory Services Pa | 1133 College Ave, Suite B131, Manhattan, KS 66502-2700 |
| Susan L Speaks | Pathology | Peterson Laboratory Services Pa | 1133 College Ave, Suite B131, Manhattan, KS 66502-2700 |
| Adam Christopher Hines | Orthopedic Surgery | Orthopaedic and Sports Medicine Center LLP | 1600 Charles Pl, Manhattan, KS 66502-2750 |
| Brittani J. Roles | Obstetrics/gynecology | The Women's Health Group, P.a. | 1620 Charles Pl, Manhattan, KS 66502-2750 |
| Coralee M Gehrt | Nurse Practitioner | Orthopaedic and Sports Medicine Center LLP | 1600 Charles Pl, Manhattan, KS 66502-2750 |
| Find all physicians in zip 66502 | |||
| City | MANHATTAN |
| Zip Code | 66502 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MANHATTAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sandra K Tabor.
| 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.