JERRY C BOUMAN DO PC INC (NPI# 1598902223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598902223 |
| Entity Type | Organization |
| Organization Name | JERRY C BOUMAN DO PC INC |
| Practice Address |
1902 S Us Highway 59 Parsons KS 67357-4948 |
| Mailing Address |
1902 S Hwy 59 Bldg D Parsons KS 67357-4955 |
| Practice Telephone | 6204231606 |
| Practice Fax Number | 6204231668 |
| Mailing Telephone | 6204231606 |
| Mailing Fax Number | 6204231668 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-04-02 |
| Authorized Official Name | DR. JERRY CRAIG BOUMAN (OWNER) |
| Authorized Official Telephone | 6204231606 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0524097 | KS | Ambulatory Health Care Facilities |
| Street Address |
1902 S US HIGHWAY 59 |
| City | PARSONS |
| State | KS |
| Zip Code | 67357-4948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560421 | Labette County Medical Center | General Acute Care Hospital | 1902 S Us Highway 59, Parsons, KS 67357-4948 | 2005-07-07 |
| 1487200911 | Mary Kathleen Scott | Registered Nurse | 1902 S Us Highway 59, Parsons, KS 67357-4948 | 2019-08-12 |
| 1750854931 | Tercya Vanessa Ferreira Jarman | Nurse Practitioner | 1902 S Us Highway 59, Parsons, KS 67357-4948 | 2019-01-09 |
| 1477029650 | Robin A Wilson | Nurse Anesthetist, Certified Registered | 1902 S Us Highway 59, Parsons, KS 67357-4948 | 2018-10-16 |
| 1831678473 | Adele Bohn | Dietitian, Registered | 1902 S Us Highway 59, Parsons, KS 67357-4948 | 2018-08-13 |
| 1053806539 | Benjamin Blake | Physician Assistant | 1902 S Us Highway 59, Parsons, KS 67357-4948 | 2018-06-26 |
| 1881045029 | Kristin R Morgan | Nurse Practitioner | 1902 S Us Highway 59, Parsons, KS 67357-4948 | 2016-06-29 |
| 1669821047 | Darin Eugene Hamlin | Nurse Practitioner | 1902 S Us Highway 59, Parsons, KS 67357-4948 | 2016-06-07 |
| 1205284601 | Yash Patel | Internal Medicine | 1902 S Us Highway 59, Parsons, KS 67357-4948 | 2016-05-26 |
| 1255791182 | Tammy Lynn Bushong | Nurse Practitioner | 1902 S Us Highway 59, Parsons, KS 67357-4948 | 2016-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891352902 | Briana Mykal Laforge | Nurse Practitioner | 1902 South Us Highway 59, Parsons, KS 67357 | 2019-05-23 |
| 1083043012 | Cah Acquisition Company 2 LLC | Clinic/Center | 1708 Corning Ave, Parsons, KS 67357 | 2013-11-12 |
| 1073872016 | Miriam Estrada Andaya | Radiology | 1902 South U.S. Highway 59, Labette Health, Parsons, KS 67357 | 2012-05-11 |
| 1285942789 | Brad D Herman | Chiropractor | 1519 B Main, Parsons, KS 67357 | 2010-09-17 |
| 1750615936 | Bowen Pharmacy, Inc | Pharmacy | 1518 Washington St, Parsons, KS 67357 | 2009-09-22 |
| 1780872630 | Nhut Nguyen | General Practice | 2601 Gabriel, Parsons State Hospital, Parsons, KS 67357 | 2007-10-04 |
| 1962608976 | Thomas C Weaver | Chiropractor | 1531 Main, Suite B, Parsons, KS 67357 | 2007-06-26 |
| 1043413297 | Robert Henry Burnett | Physical Therapist | 200 N 16th St, Parsons, KS 67357 | 2007-06-06 |
| 1386779551 | Southeast Kansas Orthopedic Clinic | Specialist | 1902 South Highway 59, Bldg D, Parsons, KS 67357 | 2007-02-21 |
| 1679627012 | Labette County Health Department | Public Health or Welfare | 1902 S. Hwy 59 Bldg C, Parsons, KS 67357 | 2007-01-23 |
| Find all providers in zip 67357 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| 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 |
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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.