ROLAND M DAREY JR. (NPI# 1760475115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760475115 |
| Entity Type | Individual |
| Full Name | ROLAND M DAREY JR. |
| Credential | MD |
| Practice Address |
711 Genn Dr Wamego KS 66547-1179 |
| Practice Telephone | 7854562295 |
| Practice Fax Number | 7854569467 |
| Mailing Telephone | 7854562295 |
| Mailing Fax Number | 7854569467 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
0430151 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KANSAS LICENSE | 0430151 | 01 |
| DEA | BD6855158 | 01 |
| Street Address |
711 GENN DR |
| City | WAMEGO |
| State | KS |
| Zip Code | 66547-1179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588657928 | Wamego Hospital Association | General Acute Care Hospital | 711 Genn Dr, Wamego, KS 66547 | 2005-08-31 |
| 1750835070 | Michelle Boggs | Nurse Practitioner | 711 Genn Dr, Wamego, KS 66547-1179 | 2016-08-04 |
| 1558773606 | Jennifer Christine Milner | Family Medicine | 711 Genn Dr, Wamego, KS 66547-1179 | 2014-05-23 |
| 1942581368 | Marcy L Evans | Physician Assistant | 711 Genn Dr, Wamego, KS 66547-1179 | 2011-08-30 |
| 1750687588 | Judith Ann Bunting | Nurse Practitioner | 711 Genn Dr, Wamego, KS 66547-1179 | 2011-01-26 |
| 1437215480 | Wamego Hospital Association | Clinic/Center | 711 Genn Dr, Wamego, KS 66547 | 2006-12-27 |
| 1043302227 | Patrick Blanchard Md | Family Medicine | 711 Genn Dr, Wamego, KS 66547-1179 | 2006-09-28 |
| 1700893971 | Jena Len Albin | Physician Assistant | 711 Genn Dr, Wamego, KS 66547-1179 | 2006-08-01 |
| 1255365318 | Wamego Crna | Nurse Anesthetist, Certified Registered | 711 Genn Dr, Wamego, KS 66547-1179 | 2006-07-11 |
| 1457380008 | Cheryl D Brown | Nurse Anesthetist, Certified Registered | 711 Genn Dr, Wamego, KS 66547-1179 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629605068 | Kenneth Arthur Mcvay | Counselor | 711 Genn Dr., Wamego Health Center, Wamego, KS 66547 | 2020-03-25 |
| 1689920480 | Nicole J Wainwright | Optometrist | 631 Lincoln Ave, Wamego, KS 66547 | 2012-07-30 |
| 1992014955 | Complete Care Chiropractic LLC | Chiropractor | 1511 W. Hwy 24, Wamego, KS 66547 | 2010-09-24 |
| 1942409958 | Cassandra M Miller | Marriage & Family Therapist | 5722 Traytons Ln, Wamego, KS 66547 | 2007-07-11 |
| 1821180555 | Timothy J Minges | Family Medicine | 711 Genn Drive, Wamego, KS 66547 | 2006-09-29 |
| 1235220781 | Children's Choice Inc | Case Management | 1010 Lincoln, Wamego, KS 66547 | 2006-09-28 |
| 1740371608 | Advocate Home Specialty Care Inc | Home Health | 1004 Lincoln Street, Wamego, KS 66547 | 2006-09-27 |
| 1598787665 | Pottawatomie Wabaunsee Infant Toddler | Local Education Agency (LEA) | 510 E Hwy 24, Wamego, KS 66547 | 2006-07-24 |
| 1164459822 | John D. Mcquillen | Dentist | 1700 Commercial Circle, Wamego, KS 66547 | 2006-06-27 |
| 1881645224 | Curtis J Wolfe | Family Medicine | 711 Genn Drive Wamego Hospital Association, Dba Wamego Health Center and Wamego Family Clinic, Wamego, KS 66547 | 2006-05-12 |
| Find all providers in zip 66547 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881652121 | Merlin G. Butler | Medical Genetics | Department of Psychiatry Kansas U Med Ctr, 3901 Rainbow Blvd., Mailstop 4015, Kansas City, KS 66160-0001 | 2006-05-03 |
| 1861623985 | Elizabeth Carolina Beltran Carranza | Medical Genetics | 1010 N Kansas St, Wichita, KS 67214-3124 | 2009-08-06 |
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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.