FAMILY MEDCENTERS, P.A. (NPI# 1114025137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114025137 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDCENTERS, P.A. |
| Other Organization Name | DERBY AMBULATORY SURGERY CENTER |
| Practice Address |
1101 N Rock Rd Derby KS 67037-3735 |
| Practice Telephone | 3167886963 |
| Practice Fax Number | 3167895373 |
| Mailing Telephone | 3167886963 |
| Mailing Fax Number | 3167895373 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID WAYNE NIEDEREE (PRESIDENT) |
| Authorized Official Telephone | 3167886963 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
S-087-011 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BC/BS | 112204 | 01 |
| Other Name | Type Code |
|---|---|
| Derby Ambulatory Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790130458 | Family Medcenters, P.a. | Clinic/Center | 1101 N Rock Rd, Derby, KS 67037-3705 | 2016-05-02 |
| 1073793071 | Family Medcenters, P.a. | Family Medicine | 3133 S Seneca St, Wichita, KS 67217-3234 | 2007-11-07 |
| 1982884987 | Family Medcenters, P.a. | Family Medicine | 1101 N Rock Rd, Derby, KS 67037-3705 | 2007-11-07 |
| 1285814483 | Family Medcenters, P.a. | Family Medicine | 1425 W Grand Ave, Suite 101, Haysville, KS 67060-1269 | 2007-11-06 |
| 1538349766 | Family Medcenters, P.a. | Family Medicine | 2757 S Seneca St, Wichita, KS 67217-2862 | 2007-11-05 |
| 1841470093 | Family Medcenters, P.a. | Family Medicine | 323 N Rose Hill Rd, Rose Hill, KS 67133-9428 | 2007-11-05 |
| 1376723528 | Family Medcenters, P.a. | Family Medicine | 1004 Se Louis Dr, Mulvane, KS 67110-1109 | 2007-11-05 |
| 1881874030 | Family Medcenters, P.a. | Family Medicine | 7150 E Harry St, Wichita, KS 67207-2914 | 2007-11-05 |
| 1104022482 | Family Medcenters, P.a. | Clinic/Center | 1101 N Rock Rd, Derby, KS 67037-3735 | 2007-06-25 |
| 1285688358 | Family Medcenters, P.a. | Family Medicine | 1101 N Rock Rd, Derby, KS 67037-3735 | 2006-05-21 |
| Street Address |
1101 N ROCK RD |
| City | DERBY |
| State | KS |
| Zip Code | 67037-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629033519 | Gregory Thomas Bongers | Family Medicine | 1101 N Rock Rd, Derby, KS 67037-3705 | 2006-04-20 |
| 1326654856 | Mercedes Breann Dorsey | Pharmacist | 1101 N Rock Rd, Derby, KS 67037 | 2020-09-21 |
| 1306493374 | Price Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1101 N Rock Rd, Derby, KS 67037-3705 | 2019-08-23 |
| 1588176507 | Elizabeth Lee Mackay | Nurse Practitioner | 1101 N Rock Rd, Derby, KS 67037-3705 | 2017-10-31 |
| 1972042927 | Teiah Hadley | Nurse Practitioner | 1101 N Rock Rd, Derby, KS 67037-3705 | 2017-02-22 |
| 1649721549 | Rex Schott | Specialist/Technologist | 1101 N Rock Rd, Derby, KS 67037-3705 | 2016-10-17 |
| 1790130458 | Family Medcenters, P.a. | Clinic/Center | 1101 N Rock Rd, Derby, KS 67037-3705 | 2016-05-02 |
| 1083085898 | Holly Dawn Graves | Clinical Nurse Specialist | 1101 N Rock Rd, Derby, KS 67037-3705 | 2015-10-19 |
| 1790932705 | David C. Fuller | Physical Therapist | 1101 N Rock Rd, Derby, KS 67037-3705 | 2008-08-20 |
| 1982884987 | Family Medcenters, P.a. | Family Medicine | 1101 N Rock Rd, Derby, KS 67037-3705 | 2007-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114409182 | Lori Renee Young | Counselor | 1144 N. Buckner, Derby, KS 67037 | 2018-09-05 |
| 1295227585 | James Todd Hawkins | Social Worker | 918 E Wedgewood Dr., Derby, KS 67037 | 2018-06-01 |
| 1518454842 | Rock Regional Hospital, LLC | General Acute Care Hospital | 3251 Rock Road, Derby, KS 67037 | 2018-04-23 |
| 1093161325 | Inspired Care LLC | In Home Supportive Care | 1400 E Warren Ave, Derby, KS 67037 | 2016-05-05 |
| 1083095970 | Emily O'dell | Family Medicine | 1640 E Tall Tree Rd, Derby, KS 67037 | 2015-06-16 |
| 1700264017 | Grant Snider Dds, LLC | Dentist | 2701 North Rock Road, Suite 600, Derby, KS 67037 | 2015-05-07 |
| 1629472691 | Anaidy Claudio | Social Worker | 265 W Village Lake Dr, Derby, KS 67037 | 2014-10-20 |
| 1396094470 | Derby Assisted Living, LLC | Assisted Living Facility | 719 N. Klein Circle, Derby, KS 67037 | 2012-09-05 |
| 1700104635 | Cynthia D Holcomb | Social Worker | 1721 E. Osage, Suite 300, Derby, KS 67037 | 2010-05-17 |
| 1295066215 | Traci Lynn Borland | Occupational Therapist | 731 Klein Circle, Derby, KS 67037 | 2010-01-15 |
| Find all providers in zip 67037 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942748793 | Rock Surgery Center, LLC | Clinic/Center | 1101 N. Rock Rd., Bldg 2, Derby, KS 67037-3750 | 2017-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1770147217 | Andover Ambulatory Surgery Center, LLC | Clinic/Center | 1124 W 21st St Ste 100, Andover, KS 67002-5500 | 2019-04-30 |
| 1255896676 | Ascentist Asc Merriam, LLC | Clinic/Center | 6815 Frontage Rd Ste B, Merriam, KS 66204-1291 | 2019-02-11 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1396238010 | Wichita Nephrology Group, Pa | Clinic/Center | 2122 N Garnett St, Wichita, KS 67206-3023 | 2018-06-07 |
| 1689173981 | Mao Leawood Surgery Center LLC | Clinic/Center | 4940 W 137th Street, Leawood, KS 66224 | 2018-02-02 |
| 1740794973 | Epic Asc, LLC | Clinic/Center | 11261 Nall Ave Ste 200, Leawood, KS 66211-1669 | 2017-11-27 |
| 1801323191 | Ns Surgical Center LLC | Clinic/Center | 10 E Cambridge Circle Dr Ste 150, Kansas City, KS 66103-1393 | 2017-05-17 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1316470354 | Manhattan Specialists Center LLC | Clinic/Center | 202 Research Dr, Manhattan, KS 66503-3049 | 2017-04-06 |
| 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.