CENTRAL KANSAS MEDICAL CENTER (NPI# 1770834806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770834806 |
| Entity Type | Organization |
| Organization Name | CENTRAL KANSAS MEDICAL CENTER |
| Other Organization Name | ST ROSE ANESTHESIA PATHOLOGY SERVICES |
| Practice Address |
3515 Broadway Ave Great Bend KS 67530-3633 |
| Mailing Address |
Po Box 388 Newton KS 67114-0388 |
| Practice Telephone | 6207922511 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |
| Authorized Official Name | AMANDA VAUGHAN (CFO) |
| Authorized Official Telephone | 6202722222 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL KANSAS MEDICAL CENTER DBA ST. ROSE AMBULATORY & SURGERY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Rose Anesthesia Pathology Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366469371 | Central Kansas Medical Center | Home Health | 3520 Lakin, Great Bend, KS 67530-3646 | 2006-07-16 |
| 1043556400 | Central Kansas Medical Center | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2012-12-12 |
| 1790046019 | Central Kansas Medical Center | Nurse Anesthetist, Certified Registered | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2012-06-04 |
| 1730452343 | Central Kansas Medical Center | Clinic/Center | 204 Cleveland St, Great Bend, KS 67530-3563 | 2012-02-13 |
| 1295022358 | Central Kansas Medical Center | Specialist | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-07-08 |
| 1902191364 | Central Kansas Medical Center | Clinical Medical Laboratory | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-06-14 |
| 1548555907 | Central Kansas Medical Center | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-06-14 |
| 1275828634 | Central Kansas Medical Center | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-06-14 |
| 1265731996 | Central Kansas Medical Center | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2011-03-21 |
| 1881927382 | Central Kansas Medical Center | Orthopaedic Surgery | 3515 Broadway Ave, Suite 109, Great Bend, KS 67530-3633 | 2009-09-15 |
| Street Address |
3515 BROADWAY AVE |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619503117 | Kelsey Renee Harris | Nurse Practitioner | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2020-03-16 |
| 1821654229 | Ukhs Great Bend, LLC | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-13 |
| 1902462302 | Ukhs Great Bend, LLC | Internal Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-13 |
| 1811553381 | Ukhs Great Bend, LLC | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-10 |
| 1396301867 | Ukhs Great Bend LLC | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-10 |
| 1992272918 | Ukhs Great Bend, LLC | Family Medicine | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-10-29 |
| 1710454731 | Ukhs Great Bend, LLC | Hospice Care, Community Based | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-10-29 |
| 1588150635 | Ukhs Great Bend, LLC | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2018-07-02 |
| 1982152898 | Haley Ann Gleason | Nurse Practitioner | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2016-09-20 |
| 1669840195 | St. Rose Health Center Inc | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2015-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1265895908 | Kayti Trapp | Physical Therapy Assistant | 1514 Ks-96 Hwy, Great Bend, KS 67530 | 2016-03-31 |
| 1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
| 1912060435 | Larry G Kutina | Dentist | 3820 6th Street, Great Bend, KS 67530 | 2006-12-18 |
| 1144308883 | Hcc-healthcare of Great Bend, LLC | Skilled Nursing Facility | 1560 K96 Highway, Great Bend, KS 67530 | 2006-11-01 |
| 1841370699 | Edward Lake Jones | Pathology | 2001 Lincoln, Great Bend, KS 67530 | 2006-10-16 |
| 1407955529 | William G Hafner | Chiropractor | 1309 Williams St., Great Bend, KS 67530 | 2006-09-22 |
| Find all providers in zip 67530 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| 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 Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114995958 | Issara I. Ayuthia, Md | Pathology | 3001 Avenue A, Dodge City, KS 67801-6508 | 2006-03-09 |
| 1245202936 | Willard Wike Scamman | Pathology | 2715 Sw 29th St, Suite C, Topeka, KS 66614-2044 | 2006-02-06 |
| 1548577752 | Charles T Hinshaw | Pathology | 3100 N Hillside St, Wichita, KS 67219-3904 | 2010-09-09 |
| 1942438478 | Sarah Thompson Mchugh | Pathology | University of Kansas Medical Ctr, 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2009-06-23 |
| 1861437618 | Elliot A Magidson | Pathology | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-17 |
| 1386624518 | Heartland Pathology Pa | Pathology | 9300 E 29th St N, Suite 208, Wichita, KS 67226-2182 | 2006-01-23 |
| 1770568263 | Wesley Pathology Consultants Pa | Pathology | 550 N Hillside St, Wichita, KS 67214-4910 | 2005-12-07 |
| City | GREAT BEND |
| Zip Code | 67530 |
Please comment or provide details below to improve the information on CENTRAL KANSAS MEDICAL CENTER.
| 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.