BETHANY NICOLE ENOCH (NPI# 1093036352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093036352 |
| Entity Type | Individual |
| Full Name | BETHANY NICOLE ENOCH |
| Credential | MD |
| Practice Address |
3011 N Michigan St Pittsburg KS 66762-2546 |
| Mailing Address |
Po Box 1832 Pittsburg KS 66762-1832 |
| Practice Telephone | 6202319873 |
| Practice Fax Number | 6202315062 |
| Mailing Telephone | 6202319873 |
| Mailing Fax Number | 6202312808 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2013-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 04-35377 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
3011 N MICHIGAN ST |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699777425 | Cheryl A Rajotte | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2005-08-11 |
| 1164031936 | Danielle M Bennett | Registered Nurse | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2020-07-28 |
| 1275141434 | Michael Garza | Psychologist | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2020-07-14 |
| 1295350049 | Building Health Inc. | Clinic/Center | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2020-06-08 |
| 1255978631 | Crystal Merriman | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-12-05 |
| 1700422490 | Lorraine Kathleen Lorentz | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-11-18 |
| 1285270926 | Mallory Garza | Psychologist | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-11-18 |
| 1336791334 | Kristen R Simmons | Social Worker | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-07-10 |
| 1407417165 | Samantha K Simpson | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-06-24 |
| 1003379629 | Tracy M Orellana | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
| 1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
| 1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
| 1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| Find all providers in zip 66762 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799434 | Pittsburg Hospital, LLC | Family Medicine | 502 Quitman St, Pittsburg, TX 75686-1034 | 2020-01-08 |
| 1720119456 | Holly Ann Cranston | Family Medicine | 1015 S Mount Carmel Pl, Pittsburg, KS 66762-6604 | 2007-03-07 |
| 1245381706 | Charles Som | Family Medicine | 2240 Gladstone Drive, Suite 4, Pittsburg, CA 94565 | 2007-01-12 |
| 1417007782 | Joan Faith Hoffman | Family Medicine | 2240 Gladstone Dr. #4, La Clinica - Pittsburg, Pittsburg, CA 94565-5126 | 2007-01-11 |
| 1164528220 | Daniel Joseph Koehn | Family Medicine | 2401 S Tucker Ave, Suite 2, Pittsburg, KS 66762-6609 | 2006-09-16 |
| 1588767164 | Richard Allan Gellender | Family Medicine | 2724 North Joplin, Pittsburg, KS 66762 | 2006-09-07 |
| 1174559520 | Jacqueline S Orender | Family Medicine | 2305 S. Tucker Terrace, Pittsburg, KS 66762 | 2006-06-25 |
| 1407882251 | Rick D Schoeling | Family Medicine | 2501 S Springdale St, Pittsburg, KS 66762-7315 | 2006-06-23 |
| 1063478253 | Merry Katherine Demko | Family Medicine | 1984 Greentree Road, Pittsburg, PA 15220 | 2006-04-25 |
| 1992111710 | Katelyn Marie Merando Falk | Family Medicine | 1 Mt Carmel Way, Pittsburg, KS 66762-7587 | 2014-07-02 |
| Find all providers in PITTSBURG | ||||
Please comment or provide details below to improve the information on BETHANY NICOLE ENOCH.
| 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.