Jacob Randall Ewigman (NPI# 1710447198, PAC ID# 9537400171) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1710447198 |
| PAC ID by PECOS | 9537400171 |
| Professional Enrollment ID | I20190409002927 |
| Full Name | Jacob Randall Ewigman |
| Organization Legal Name | SERC REHABILITATION PARTNERS LLC |
| Address |
1004 Progress Dr Suite 100 Lansing KS 66043-6323 |
| Phone Number | 9133513586 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9830344563 |
| Number of Group Practice Members | 174 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1004 Progress Dr, Suite 100, Lansing, KS 66043-6323 | 9133513586 | SERC REHABILITATION PARTNERS LLC |
| Organization Legal Name | SERC REHABILITATION PARTNERS LLC |
| Physicians | 190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel Shane Coburn | Physical Therapy | Serc Rehabilitation Partners LLC | 3355 Main St, Kansas City, MO 64111-1904 |
| Katelyn Elizabeth Kennison | Physical Therapy | Serc Rehabilitation Partners LLC | 9760 N Ash Ave, Kansas City, MO 64157-9742 |
| Bryan Gregory Romero | Physical Therapy | Serc Rehabilitation Partners LLC | 11902 Blue Ridge Ext, Suite 11906b, Grandview, MO 64030-1100 |
| Kyler Todd Offenbacker | Physical Therapy | Serc Rehabilitation Partners LLC | 1240 E Centerton Blvd, Centerton, AR 72719-1300 |
| Joseph Thomas Kopp Jr. | Physical Therapy | Serc Rehabilitation Partners LLC | 8019 W 151st St, Overland Park, KS 66223-2115 |
| Ryan Tyler Freeman | Physical Therapy | Serc Rehabilitation Partners LLC | 1227 E 32nd St, 7 Serc Joplin, Joplin, MO 64804-2904 |
| Taylor Anne Rees | Physical Therapy | Serc Rehabilitation Partners LLC | 908 Baltimore Ave, Suite 101, Kansas City, MO 64105-1707 |
| Sarah Baylee Ford | Physical Therapy | Serc Rehabilitation Partners LLC | 6640 Johnson Dr, Mission, KS 66202-2617 |
| Stephanie Ann Papik | Physical Therapy | Serc Rehabilitation Partners LLC | 10074 Woodland Dr, Serc Lenexa, Lenexa, KS 66220-3802 |
| Jennifer Ann Whipple | Physical Therapy | Serc Rehabilitation Partners LLC | 7925 State Ave, Suite 104, Kansas City, KS 66112-2422 |
| Street Address |
1004 PROGRESS DR SUITE 100 |
| City | LANSING |
| State | KS |
| Zip | 66043-6323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Steinhaus | Cardiac Electrophysiology | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| Kathleen R Mcbratney | Family Medicine | Complete Family Care LLC | 1004 Progress Dr, Suite 200, Lansing, KS 66043-6323 |
| Riaz R Rabbani | Cardiovascular Disease (cardiology) | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| Steven S Ranzenberger | Otolaryngology | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| Lisa A Weber | Nephrology | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| James H O Keefe Jr. | Cardiovascular Disease (cardiology) | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| Mike Andrew Mendiola | Physical Therapy | Serc Rehabilitation Partners LLC | 1004 Progress Dr, Suite 100, Lansing, KS 66043-6323 |
| Jeri D Stephenson | Physician Assistant | Complete Family Care LLC | 1004 Progress Dr, Suite 200, Lansing, KS 66043-6323 |
| Crystal D Murphy | Certified Nurse Midwife (cnm) | Care for Women, LLC | 1004 Progress Dr, 120 Specialists In Womens Care, Lansing, KS 66043-6323 |
| Randall C Thompson | Cardiovascular Disease (cardiology) | Saint Lukes Physician Group Inc | 1004 Progress Dr, Suite 220, Lansing, KS 66043-6327 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark E Walters | Chiropractic | 848 N Main St, Lansing, KS 66043-1305 | |
| Jay L Carter | Chiropractic | 610 N Main St, Lansing, KS 66043-1308 | |
| Ryan P Smith | Chiropractic | 100 E Kansas St, Suite E, Lansing, KS 66043-1610 | |
| Debbie Ann Name | Physician Assistant | Leavenworth Family Health Center | 720 1st Ter, Lansing, KS 66043-1704 |
| Peter J Cristiano | Family Medicine | Leavenworth Family Health Center | 720 1st Ter, Lansing, KS 66043-1704 |
| Mira Kim | Nurse Practitioner | Leavenworth Family Health Center | 720 1st Ter, Lansing, KS 66043-1704 |
| Valerie Watts | Nurse Practitioner | Leavenworth Family Health Center | 720 1st Ter, Lansing, KS 66043-1704 |
| Addie E Long | Physical Therapy | Preferred Pt LLC | 712 1st Ter, Suite 103, Lansing, KS 66043-1735 |
| Arden B Andersen | Family Medicine | 712 1st Ter, Suite 205, Lansing, KS 66043-1735 | |
| Molly M Porter | Physical Therapy | Preferred Pt LLC | 712 1st Ter, Suite 103, Lansing, KS 66043-1735 |
| Find all physicians in zip 66043 | |||
| City | LANSING |
| Zip Code | 66043 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LANSING + PHYSICAL THERAPY |
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| 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.