SUSAN B. ALLEN MEMORIAL HOSPITAL


Address: 720 W Central Ave Ste 111, El Dorado, KS 67042-2112
Phone: 3163213300

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083X0100X Preventive Medicine
Specialization: Occupational Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
SBA Medical Group - Occupational Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 720 W CENTRAL AVE STE 111
City EL DORADO
State KS
Zip Code 67042-2112

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2083X0100X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Occupational Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City EL DORADO
Zip Code 67042

Improve Information

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Dataset Information

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.

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