COTTON ONEIL CLINIC REVOCABLE TRUST (NPI# 1609006626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609006626 |
| Entity Type | Organization |
| Organization Name | COTTON ONEIL CLINIC REVOCABLE TRUST |
| Other Organization Name | KANSAS ORTHOPEDICS AND SPORTS MEDICINE A DIVISION OF STORMONT-VAIL HEA |
| Practice Address |
909 Sw Mulvane St Topeka KS 66606-1677 |
| Practice Telephone | 7853570301 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |
| Authorized Official Name | MS. DEBRA YOCUM (VICE PRESIDENT) |
| Authorized Official Telephone | 7853549591 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100217350A | 05 |
| Other Name | Type Code |
|---|---|
| Kansas Orthopedics and Sports Medicine a Division of Stormont-Vail Hea | Doing Business As Name - Organization |
| Street Address |
909 SW MULVANE ST |
| City | TOPEKA |
| State | KS |
| Zip Code | 66606-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909052 | Ferdinand G Pampolina | Internal Medicine | 909 Sw Mulvane St, Topeka, KS 66606-1677 | 2005-06-01 |
| 1962997635 | Stacy Kabriel | Nurse Practitioner | 909 Sw Mulvane St, Topeka, KS 66606-1677 | 2018-06-26 |
| 1831614320 | Joel Clemence | Nurse Practitioner | 909 Sw Mulvane St, Topeka, KS 66606-1677 | 2017-08-07 |
| 1336511344 | Margaret West | Physical Therapy Assistant | 909 Sw Mulvane St, Topeka, KS 66606-1677 | 2015-10-29 |
| 1861894511 | Jacquelyn Henne | Physical Therapist | 909 Sw Mulvane St, Topeka, KS 66606-1677 | 2014-09-24 |
| 1639571169 | Erin Schwartz | Nurse Practitioner | 909 Sw Mulvane St, Topeka, KS 66606-1677 | 2014-09-16 |
| 1306258892 | Lauren Schaffer | Physical Therapist | 909 Sw Mulvane St, Topeka, KS 66606-1677 | 2014-06-02 |
| 1063824134 | David Kempin | Physical Therapist | 909 Sw Mulvane St, Topeka, KS 66606-1677 | 2014-05-23 |
| 1417377763 | Bruce Williams | Physical Therapist | 909 Sw Mulvane St, Topeka, KS 66606-1677 | 2014-04-24 |
| 1003195009 | Matthew A Williams | Physician Assistant | 909 Sw Mulvane St, Topeka, KS 66606-1677 | 2011-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843198 | Ashley Biggs | Nurse Practitioner | 823 Sw Mulvane, Ste 200, Topeka, KS 66606 | 2019-10-21 |
| 1952969925 | Danielle Marie Spencer | Physician Assistant | 823 Sw Mulvane, Ste 330, Topeka, KS 66606 | 2019-06-04 |
| 1174084545 | Samantha Brummell | Social Worker | 3707 Sw 6th, Topeka, KS 66606 | 2019-03-28 |
| 1659810372 | Jayme Jo Mejia | Nurse Practitioner | 200 Sw Frazier Circle, Topeka, KS 66606 | 2017-02-14 |
| 1497122139 | Andrew Q Etheridge | Case Manager/Care Coordinator | 325 Sw Frazier, Family Service & Guidance Center, Topeka, KS 66606 | 2015-08-28 |
| 1962817254 | Kelsie Maxwell | Clinic/Center | 1315 Sw 6th Ave Suite B, Topeka, KS 66606 | 2014-06-25 |
| 1548684202 | Kimberly Ann Spencer | Counselor | 1500 Sw 10th Avenue, Topeka, KS 66606 | 2014-02-14 |
| 1730501859 | Ryan Kemp-pappan | Counselor | Valeo Behavioral Health Care, 330 Sw Oakley Ave, Topeka, KS 66606 | 2014-01-08 |
| 1750710935 | Dia L Orear | Nurse Practitioner | 1700 Sw 7th Street, 2nd Floor, Topeka, KS 66606 | 2013-11-07 |
| 1609174523 | Elizabeth Husted | Community Health Worker | 5301 Sw 7th St., Topeka, KS 66606 | 2011-03-01 |
| Find all providers in zip 66606 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124563093 | Tallgrass Orthopedic and Sports Medicine LLC | Orthopaedic Surgery | 6730 Sw Mission View Dr, Suite 200, Topeka, KS 66614-5652 | 2016-12-30 |
| 1871933507 | David Edward Thurston | Orthopaedic Surgery | 5120 Redbud Lane, Topeka, KS 66606-2267 | 2013-06-26 |
| 1477991610 | Robert Roy Payne | Orthopaedic Surgery | 2403 Southwest Brookhaven Lane, Robert R. Payne, M.d, Topeka, KS 66614 | 2013-06-10 |
| 1083690499 | Peter S Lepse | Orthopaedic Surgery | 2660 Sw 3rd St., Topeka, KS 66606 | 2005-12-16 |
| 1639166143 | Michael T Mccoy | Orthopaedic Surgery | 2660 Sw 3rd St, Topeka, KS 66606-2442 | 2005-09-29 |
| 1831486810 | Jacob C Deister | Orthopaedic Surgery | 2660 Sw 3rd St, Topeka, KS 66606-2442 | 2011-06-29 |
| 1609004613 | Shaun Fay Steeby | Orthopaedic Surgery | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2009-06-29 |
| 1558599795 | Steven Gregory Anderson | Orthopaedic Surgery | 6001 Sw 6th Ave, Suite 200, Topeka, KS 66615 | 2009-06-25 |
| 1407013071 | Benedict F Figuerres | Orthopaedic Surgery | 6001 Sw 6th Ave, Suite 200, Topeka, KS 66615 | 2008-05-20 |
| 1306030705 | Jennifer Anne Waterman | Orthopaedic Surgery | 2660 Sw 3rd St, Topeka, KS 66606 | 2007-08-29 |
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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.