BENEDICTINE COLLEGE (NPI# 1275056400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275056400 |
| Entity Type | Organization |
| Organization Name | BENEDICTINE COLLEGE |
| Other Organization Name | BENEDICTINE COLLEGE SPORTS MEDICINE |
| Practice Address |
1020 N 2nd St Rm 103 Atchison KS 66002-1402 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Mailing Telephone | (972) 367-4845 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MR. MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
04-29855 | KS | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Benedictine College Sports Medicine | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1020 N 2nd St, Atchison, KS 660021402 | 9133607624 |
| Street Address |
1020 N 2ND ST RM 103 |
| City | ATCHISON |
| State | KS |
| Zip Code | 66002-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231312 | Atchison Dental Associates 2 Pa | Dentist | 111 North 5th Street, Atchison, KS 66002 | 2018-07-02 |
| 1730614918 | Marilyn Franck Glenn | Counselor | 107 N. 6th St., Suite #4, Atchison, KS 66002 | 2017-04-26 |
| 1508299108 | Rachel Dawn Gauntt Weaver | Social Worker | 2135 Main Street, Atchison, KS 66002 | 2013-08-19 |
| 1154660520 | Melinda Pregont | Chiropractor | 310 Commercial Street, Atchison, KS 66002 | 2013-02-05 |
| 1265711675 | Atchison Community Health Clinic Inc | Dentist | 1412 North 2nd St., Atchison, KS 66002 | 2011-08-16 |
| 1093031585 | Pamela Jane Rizza | Family Medicine | 810 Ravenhill Drive, Atchison, KS 66002 | 2010-04-09 |
| 1730410002 | Kansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 400 South 10th Street, Atchison, KS 66002 | 2010-01-26 |
| 1679785893 | John M Speckhals | Counselor | 1301 N 2nd Street, Atchison, KS 66002 | 2007-05-03 |
| 1134284680 | County of Atchison | Nursing Care | 1419 North 6th, Atchison, KS 66002 | 2006-12-26 |
| 1437218351 | Mandy Kay Uhler | Psychologist | 1301 N 2nd, Atchison, KS 66002 | 2006-12-06 |
| Find all providers in zip 66002 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1306982236 | Kansas University Physicians Inc | Orthopaedic Surgery | G022 Robinson Hall, Mail Stop 3017 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1932281714 | Christopher Cullen Eckland | Orthopaedic Surgery | 4940 W 137th St Ste B, Leawood, KS 66224-3633 | 2006-10-20 |
| 1972683548 | John G Yost Jr. | Orthopaedic Surgery | 307 N Hospital Dr Ste 3, Girard, KS 66743-2047 | 2006-10-17 |
| 1003809161 | Southeast Kansas Orthopedics & Sports Medicine | Orthopaedic Surgery | 321 East Main, Chanute, KS 66720 | 2005-08-24 |
| 1447872346 | Elite Spine Care of Kansas City, LLC | Orthopaedic Surgery | 4911 W 87th Ter, Prairie Village, KS 66207-2271 | 2020-05-13 |
| 1952947939 | Providence Medical Group | Orthopaedic Surgery | 8919 Parallel Pkwy Ste 555, Kansas City, KS 66112-3628 | 2019-11-25 |
| 1558881433 | Nathan Daniel Kasting | Orthopaedic Surgery | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2017-06-22 |
| 1861810137 | Brittany Joie Moore | Orthopaedic Surgery | 10777 Nall Ave Ste 300, Overland Park, KS 66211-1330 | 2014-04-02 |
| 1922358902 | Menorah Medical Group, LLC | Orthopaedic Surgery | 5701 W 119th St, Suite 308, Overland Park, KS 66209-3721 | 2012-09-17 |
| 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.