TADURAN SPORTS MEDICINE AND OSTEOPATHIC WELLNESS CENTER (NPI# 1134443237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134443237 |
| Entity Type | Organization |
| Organization Name | TADURAN SPORTS MEDICINE AND OSTEOPATHIC WELLNESS CENTER |
| Practice Address |
102 E 11th St Liberal KS 67901-2784 |
| Practice Telephone | 6206242565 |
| Mailing Telephone | 6206242565 |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |
| Authorized Official Name | TROY VIRGIL MAYPA TADURAN (OWNER) |
| Authorized Official Telephone | 6206242565 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
05-34185 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | LICENSE | 05-34185 | 01 |
| FL | LICENSE | OS 9896 | 01 |
| Street Address |
102 E 11TH ST |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901-2784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244123 | Reyna Silvia Aguilar-martinez | Nurse Practitioner | 102 E 11th St, Liberal, KS 67901-2784 | 2020-01-16 |
| 1841621679 | Southwest Family Medicine LLC | Nurse Practitioner | 102 E 11th St, Liberal, KS 67901-2784 | 2013-12-04 |
| 1841632445 | Juvy Rea Jabel | Nurse Practitioner | 102 E 11th St, Liberal, KS 67901-2784 | 2013-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619517497 | Advanced Medical Solutions By Rejuvv | Clinic/Center | 3 Black Heath Ct # 2, Winfield, KS 67156-6301 | 2020-01-09 |
| 1457828725 | Joseph Leiker | Clinic/Center | 7420 Quivira Rd Ste 102, Shawnee, KS 66216-3557 | 2018-10-25 |
| 1730547167 | Comprehensive Concussion Care, P.a. | Clinic/Center | 11940 W 119th St, Overland Park, KS 66213-2216 | 2016-01-30 |
| 1922443779 | Lucas M. Stanker LLC | Clinic/Center | 11652 W 75th St, Shawnee, KS 66214-1372 | 2013-05-07 |
| 1295790996 | Manhattan Dermatology, P.a. | Clinic/Center | 1640 Charles Pl, Suite 103, Manhattan, KS 66502-2750 | 2006-04-18 |
| 1508865478 | Oberlin Medical Arts Pa | Clinic/Center | 902 W Columbia St, Oberlin, KS 67749-2412 | 2005-07-21 |
| 1457867905 | Sivakoti R Katta, LLC | Clinic/Center | 8919 Parallel Pkwy Ste 215, Kansas City, KS 66112-1655 | 2017-12-20 |
| 1275960148 | Singhal Plastic Surgery, Pa | Clinic/Center | 5250 W 94th Ter, Prairie Village, KS 66207-2502 | 2013-10-08 |
| 1770823668 | My Kidney Center, LLC | Clinic/Center | 1133 College Ave, Building B, Suite 100, Manhattan, KS 66502-2770 | 2013-02-28 |
| 1700134004 | Kansas Center for Pain Relief, LLC | Clinic/Center | 11413 Ash St, Leawood, KS 66211-1837 | 2012-08-17 |
| 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.