SUSAN B. ALLEN MEMORIAL HOSPITAL (NPI# 1003338914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003338914 |
Entity Type | Organization |
Organization Name | SUSAN B. ALLEN MEMORIAL HOSPITAL |
Other Organization Name | SBA MEDICAL GROUP - OCCUPATIONAL MEDICINE |
Practice Address |
720 W Central Ave Ste 111 El Dorado KS 67042-2112 |
Mailing Address |
720 W Central Ave El Dorado KS 67042-2112 |
Practice Telephone | 3163213300 |
Mailing Telephone | 3163213300 |
Enumeration Date | 2017-07-12 |
Last Update Date | 2017-07-12 |
Authorized Official Name | MR. MARK ROOKER (CIO/COO) |
Authorized Official Telephone | 3163224544 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
SBA Medical Group - Occupational Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124594957 | Susan B. Allen Memorial Hospital | Emergency Medicine | 700 W Central Ave Ste 103, El Dorado, KS 67042-2187 | 2018-10-19 |
1588156574 | Susan B. Allen Memorial Hospital | Clinic/Center | 2710 W Central Ave, El Dorado, KS 67042-3285 | 2018-06-05 |
1457766800 | Susan B. Allen Memorial Hospital | Family Medicine | 401 W 7th Ave, Augusta, KS 67010-1309 | 2014-06-24 |
1922431329 | Susan B. Allen Memorial Hospital | Orthopaedic Surgery | 700 W Central Ave Ste 108, El Dorado, KS 67042-2187 | 2013-08-21 |
1356783286 | Susan B. Allen Memorial Hospital | Otolaryngology | 700 W Central Ave Ste 202, El Dorado, KS 67042-2186 | 2013-07-19 |
1285870618 | Susan B. Allen Memorial Hospital | Family Medicine | 700 W Central Ave Ste 204, El Dorado, KS 67042-2186 | 2009-01-07 |
1700994977 | Susan B. Allen Memorial Hospital | Pharmacy | 720 W. Central Ave, El Dorado, KS 67042-2144 | 2006-08-28 |
1144724667 | Susan B. Allen Memorial Hospital | Audiologist | 700 W Central Ave Ste 202, El Dorado, KS 67042-2186 | 2018-03-20 |
1104349067 | Susan B. Allen Memorial Hospital | Hospitalist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2017-07-24 |
1922520832 | Susan B. Allen Memorial Hospital | Family Medicine | 401 W 7th Ave, Augusta, KS 67010-1309 | 2017-07-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SUSAN B. ALLEN MEMORIAL HOSPITAL, THE | 720 W Central Ave, El Dorado, KS 67042-2112 |
Street Address |
720 W CENTRAL AVE STE 111 |
City | EL DORADO |
State | KS |
Zip Code | 67042-2112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
1902262355 | Lisbeth Leiber | Nurse Practitioner | 1737 Se Hwy 54, El Dorado, KS 67042 | 2016-01-14 |
1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
1962608893 | South Central Mental Health Counseling Center Inc | Social Worker | 120 S Gordy, 3, El Dorado, KS 67042 | 2007-06-26 |
1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
1548388598 | Richard Alan Burton | Dentist | 310 Oil Hill Road, El Dorado, KS 67042 | 2007-03-27 |
1710002472 | Tender Care Pediatrics Pa | Pediatrics | 700 W. Central Ave, Ste 210, El Dorado, KS 67042 | 2007-03-20 |
Find all providers in zip 67042 |
Taxonomy Code | 2083X0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Occupational Medicine |
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093320475 | Sandra Lynn Massey | Preventive Medicine | 6652 N Scottsville St, Park City, KS 67219-1525 | 2020-09-11 |
1851767032 | Accident and Recovery Clinic | Preventive Medicine | 3810 W Bounous St, Wichita, KS 67213-1203 | 2015-08-11 |
1033457460 | Oz Lc | Preventive Medicine | 10630b Metcalf Ave, Overland Park, KS 66212-1816 | 2013-01-18 |
1831211077 | Stephen Joseph Kracht | Preventive Medicine | 7500 W 110th St, #500, Overland Park, KS 66210-2352 | 2007-04-06 |
1740306851 | Stuart M. Kagan | Preventive Medicine | 14809 W. 95th St., Lenexa, KS 66215-1282 | 2007-03-21 |
1700936838 | Ronald Baldwin Davis | Preventive Medicine | 2629 E Harry, Wichita, KS 67211-4702 | 2007-01-11 |
1780772327 | James R Webb Jr. | Preventive Medicine | 6732 W 126th St, Overland Park, KS 66209-2549 | 2006-10-10 |
1689634446 | Robert A Gollier II | Preventive Medicine | 404 W 4th St, Ottawa, KS 66067-2159 | 2006-03-24 |
1104375559 | U.S. Healthworks Medical Group of Kansas City, Pa | Preventive Medicine | 1333 Meadowlark Ln, Ste 200, Kansas City, KS 66102-1249 | 2016-09-27 |
1619426087 | U.S. Healthworks Medical Group of Kansas City, Pa | Preventive Medicine | 15319 W 95th St, Lenexa, KS 66219-1262 | 2016-09-27 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.