MY KIDNEY CENTER, LLC (NPI# 1770823668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770823668 |
| Entity Type | Organization |
| Organization Name | MY KIDNEY CENTER, LLC |
| Practice Address |
1133 College Ave Building B, Suite 100 Manhattan KS 66502-2770 |
| Practice Telephone | 7855659500 |
| Practice Fax Number | 7855659595 |
| Mailing Telephone | 7855659500 |
| Mailing Fax Number | 7855659595 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2016-08-30 |
| Authorized Official Name | DR. FADI V BEDROS (OWNER) |
| Authorized Official Telephone | 7855659500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
KS | Ambulatory Health Care Facilities |
| Street Address |
1133 COLLEGE AVE BUILDING B, SUITE 100 |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66502-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899240 | Rosanne C Kreller | Nurse Practitioner | 1133 College Ave, Ste E230, Manhattan, KS 66502-2795 | 2005-05-31 |
| 1922615806 | Christina Guhr | Nurse Practitioner | 1133 College Ave, Manhattan, KS 66502-2770 | 2020-09-25 |
| 1417439977 | Kelli Renae Pettijohn | Physical Therapy Assistant | 1133 College Ave, Manhattan, KS 66502-2770 | 2018-08-31 |
| 1063907376 | Prism Diagnostics, LLC | Clinical Medical Laboratory | 1133 College Ave, Building C, Suite 145, Manhattan, KS 66502-2751 | 2018-06-28 |
| 1396266060 | Stacey L Marti | Physical Therapist | 1133 College Ave, Manhattan, KS 66502-2770 | 2017-07-03 |
| 1457891244 | Gilberto Magallanes | Occupational Therapy Assistant | 1133 College Ave, A213, Manhattan, KS 66502-2770 | 2017-02-28 |
| 1750826632 | Rachel Marie Irwin | Behavior Technician | 1133 College Ave, A213, Manhattan, KS 66503 | 2016-12-30 |
| 1255875852 | Dental Associates of Manhattan LLC | Dentist | 1133 College Ave, Suite D202, Manhattan, KS 66502-2770 | 2016-12-15 |
| 1457802613 | Laura Simons | Behavioral Analyst | 1133 College Ave, Manhattan, KS 66502-2770 | 2016-10-21 |
| 1528517901 | No Stone Unturned Foundation | Clinic/Center | 1133 College Ave, Suite A213, Manhattan, KS 66502-2770 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232217 | Rebecca Anne Cherry | Marriage & Family Therapist | 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 | 2020-07-15 |
| 1992334361 | Lorin C Kelly | Counselor | 201 South 4th Street, Suite C5, Manhattan, KS 66502 | 2020-04-07 |
| 1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
| 1730741018 | Jessica Caroline Kostroske | Speech-Language Pathologist | 2031 Poyntz Avenue, Manhattan, KS 66502 | 2019-07-08 |
| 1962968420 | Sarah C Siders | Social Worker | 1506 Browning Avenue #107, Manhattan, KS 66502 | 2019-02-20 |
| 1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
| 1306315601 | Gail Elizabeth Webster | Midwife, Lay | 2106 Timber Creek Dr, Manhattan, KS 66502 | 2018-11-15 |
| 1972021525 | Patience Ivy | Student in an Organized Health Care Education/Training Program | 1615 Denison Ave, Apt 211, Manhattan, KS 66502 | 2017-09-05 |
| 1578086252 | Alexa Jean Sharr | Physician Assistant | 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 | 2017-07-25 |
| 1790226702 | Mackenzie Getz | Student in an Organized Health Care Education/Training Program | 2465 Vaughn Dr, Manhattan, KS 66502 | 2017-03-10 |
| Find all providers in zip 66502 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295790996 | Manhattan Dermatology, P.a. | Clinic/Center | 1640 Charles Pl, Suite 103, Manhattan, KS 66502-2750 | 2006-04-18 |
| 1356588503 | Manhattan Dermatology, Pa | Clinic/Center | 1640 Charles Pl, Suite 103, Manhattan, KS 66502-0428 | 2009-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619517497 | Advanced Medical Solutions By Rejuvv | Clinic/Center | 3 Black Heath Ct # 2, Winfield, KS 67156-6301 | 2020-01-09 |
| 1457828725 | Joseph Leiker | Clinic/Center | 7420 Quivira Rd Ste 102, Shawnee, KS 66216-3557 | 2018-10-25 |
| 1730547167 | Comprehensive Concussion Care, P.a. | Clinic/Center | 11940 W 119th St, Overland Park, KS 66213-2216 | 2016-01-30 |
| 1922443779 | Lucas M. Stanker LLC | Clinic/Center | 11652 W 75th St, Shawnee, KS 66214-1372 | 2013-05-07 |
| 1134443237 | Taduran Sports Medicine and Osteopathic Wellness Center | Clinic/Center | 102 E 11th St, Liberal, KS 67901-2784 | 2010-03-17 |
| 1508865478 | Oberlin Medical Arts Pa | Clinic/Center | 902 W Columbia St, Oberlin, KS 67749-2412 | 2005-07-21 |
| 1457867905 | Sivakoti R Katta, LLC | Clinic/Center | 8919 Parallel Pkwy Ste 215, Kansas City, KS 66112-1655 | 2017-12-20 |
| 1275960148 | Singhal Plastic Surgery, Pa | Clinic/Center | 5250 W 94th Ter, Prairie Village, KS 66207-2502 | 2013-10-08 |
| 1700134004 | Kansas Center for Pain Relief, LLC | Clinic/Center | 11413 Ash St, Leawood, KS 66211-1837 | 2012-08-17 |
| 1366712069 | Joseph W Huston, Md, Pa | Clinic/Center | 634 Sw Mulvane St, Suite 402, Topeka, KS 66606-1678 | 2012-01-11 |
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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.