SUSAN B. ALLEN MEMORIAL HOSPITAL (NPI# 1285870618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285870618 |
| Entity Type | Organization |
| Organization Name | SUSAN B. ALLEN MEMORIAL HOSPITAL |
| Other Organization Name | BUTLER COUNTY FAMILY MEDICINE |
| Practice Address |
700 W Central Ave Ste 204 El Dorado KS 67042-2186 |
| Practice Telephone | 3163203100 |
| Practice Fax Number | 3163212188 |
| Mailing Telephone | 3163203100 |
| Mailing Fax Number | 3163212188 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2017-06-09 |
| Authorized Official Name | MR. JAMES KIRKBRIDE (PRESIDENT & CEO) |
| Authorized Official Telephone | 3163224557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Butler County Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124594957 | Susan B. Allen Memorial Hospital | Emergency Medicine | 700 W Central Ave Ste 103, El Dorado, KS 67042-2187 | 2018-10-19 |
| 1588156574 | Susan B. Allen Memorial Hospital | Clinic/Center | 2710 W Central Ave, El Dorado, KS 67042-3285 | 2018-06-05 |
| 1003338914 | Susan B. Allen Memorial Hospital | Preventive Medicine | 720 W Central Ave Ste 111, El Dorado, KS 67042-2112 | 2017-07-12 |
| 1457766800 | Susan B. Allen Memorial Hospital | Family Medicine | 401 W 7th Ave, Augusta, KS 67010-1309 | 2014-06-24 |
| 1922431329 | Susan B. Allen Memorial Hospital | Orthopaedic Surgery | 700 W Central Ave Ste 108, El Dorado, KS 67042-2187 | 2013-08-21 |
| 1356783286 | Susan B. Allen Memorial Hospital | Otolaryngology | 700 W Central Ave Ste 202, El Dorado, KS 67042-2186 | 2013-07-19 |
| 1700994977 | Susan B. Allen Memorial Hospital | Pharmacy | 720 W. Central Ave, El Dorado, KS 67042-2144 | 2006-08-28 |
| 1144724667 | Susan B. Allen Memorial Hospital | Audiologist | 700 W Central Ave Ste 202, El Dorado, KS 67042-2186 | 2018-03-20 |
| 1104349067 | Susan B. Allen Memorial Hospital | Hospitalist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2017-07-24 |
| 1922520832 | Susan B. Allen Memorial Hospital | Family Medicine | 401 W 7th Ave, Augusta, KS 67010-1309 | 2017-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUSAN B. ALLEN MEMORIAL HOSPITAL, THE | 720 W Central Ave, El Dorado, KS 67042-2112 |
| Street Address |
700 W CENTRAL AVE STE 204 |
| City | EL DORADO |
| State | KS |
| Zip Code | 67042-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
| 1902262355 | Lisbeth Leiber | Nurse Practitioner | 1737 Se Hwy 54, El Dorado, KS 67042 | 2016-01-14 |
| 1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
| 1962608893 | South Central Mental Health Counseling Center Inc | Social Worker | 120 S Gordy, 3, El Dorado, KS 67042 | 2007-06-26 |
| 1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
| 1548388598 | Richard Alan Burton | Dentist | 310 Oil Hill Road, El Dorado, KS 67042 | 2007-03-27 |
| 1710002472 | Tender Care Pediatrics Pa | Pediatrics | 700 W. Central Ave, Ste 210, El Dorado, KS 67042 | 2007-03-20 |
| Find all providers in zip 67042 | ||||
| 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 |
|---|---|---|---|---|
| 1790050466 | Family Care of Southern Arkansas, Ltd | Family Medicine | 3108 N West Ave, El Dorado, AR 71730-2731 | 2012-03-14 |
| 1740315357 | Yuekui Li | Family Medicine | 460 W. Oak St, El Dorado, AR 71730 | 2007-02-22 |
| 1548329857 | Deanna Lynn Hopson | Family Medicine | 600 S Timberlane Drive, El Dorado, AR 71730-4519 | 2006-12-06 |
| 1417060286 | Robert A Watson II | Family Medicine | 3108 North West Avenue, El Dorado, AR 71730 | 2006-08-16 |
| 1396770046 | Carlton Morris Newsome | Family Medicine | 520 Lester St, El Dorado, AR 71730-4434 | 2006-07-11 |
| 1548291420 | Remel Carino Buslig | Family Medicine | 818 Doe Meadow Ln, El Dorado, AR 71730-2159 | 2006-07-06 |
| 1295796720 | Philipp Narciso | Family Medicine | 2613 Bambi Ln, El Dorado, AR 71730-5286 | 2006-04-01 |
| 1396714424 | Jerry H Grant | Family Medicine | 104 East Grove, Grantmed, El Dorado, AR 71730-3929 | 2006-03-14 |
| 1538154570 | Gary Lloyd Bevill | Family Medicine | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2005-09-15 |
| 1174517874 | William Harper | Family Medicine | 425 W Oak St, El Dorado, AR 71730-4566 | 2005-09-08 |
| Find all providers in EL DORADO | ||||
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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.