OC MEDICAL GROUP (NPI# 1265787071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265787071 |
| Entity Type | Organization |
| Organization Name | OC MEDICAL GROUP |
| Practice Address |
242 N Cleveland Ave Wichita KS 67214-4024 |
| Mailing Address |
Po Box 8486 Wichita KS 67208-0486 |
| Practice Telephone | 3162470238 |
| Practice Fax Number | 3162605574 |
| Mailing Telephone | 3162470238 |
| Mailing Fax Number | 3162605574 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-12-01 |
| Authorized Official Name | MRS. BRIGINA PRYOR (ADMINISTRATOR) |
| Authorized Official Telephone | 3162470238 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | A087-161 | KS | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OC MEDICAL GROUP | 242 N Cleveland Ave, Wichita, KS 67214-4024 |
| Street Address |
242 N CLEVELAND AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359519 | Frances Redinger | Home Health | 1130 W Jewell St, Wichita, KS 67213-4233 | 2020-09-04 |
| 1780209882 | My Home Care LLC | Home Health | 1037 S Broadway Ave, Wichita, KS 67211-2232 | 2020-06-15 |
| 1225676679 | Justin D Hagedorn | Home Health | 505 S Broadway Ave Ste 205, Wichita, KS 67202-3922 | 2019-12-17 |
| 1588200901 | Assurance Home Health Care | Home Health | 801 E Douglas Ave, Wichita, KS 67202-3548 | 2019-11-20 |
| 1427606193 | My Home Health Care, LLC | Home Health | 1640 N Broadway Ave, Wichita, KS 67214-1119 | 2019-08-27 |
| 1174095822 | All About Home Health Care LLC. | Home Health | 1999 N Amidon Ave Ste 230, Wichita, KS 67203-2123 | 2018-12-19 |
| 1902372246 | Heritage LLC | Home Health | 12525 E Killarney Ct, Wichita, KS 67206-4162 | 2018-10-14 |
| 1326558149 | Wichita Home Health Care Group Inc | Home Health | 4601 E Douglas Ave Ste 332, Wichita, KS 67218-1031 | 2017-10-06 |
| 1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
| 1053769125 | Miracle Care Services LLC | Home Health | 1624 S Rutan Ave, Wichita, KS 67218-3918 | 2016-05-31 |
| Find all providers in WICHITA | ||||
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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.