GASTRO INTESTINAL CONSULTANTS OF MANHATTAN,P.A. (NPI# 1861406175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861406175 |
Entity Type | Organization |
Organization Name | GASTRO INTESTINAL CONSULTANTS OF MANHATTAN,P.A. |
Practice Address |
1213 Hylton Heights Rd Suite 101 Manhattan KS 66502-2810 |
Practice Telephone | 7855390156 |
Practice Fax Number | 7855390177 |
Mailing Telephone | 7855390156 |
Enumeration Date | 2006-07-29 |
Last Update Date | 2018-06-21 |
Authorized Official Name | W TRAVIS DIERENFELDT (DOCTOR) |
Authorized Official Telephone | 7855390156 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 04-28673 | KS | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | RAILROAD MEDICARE | 100014893 | 01 |
KS | BLUE CROSS BLUE SHIELD | 110814 | 01 |
KS | 200347640A | 05 | |
KS | FIRST GUARD | 337060 | 01 |
Street Address |
1213 HYLTON HEIGHTS RD SUITE 101 |
City | MANHATTAN |
State | KS |
Zip Code | 66502-2810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114921632 | Kevin P Ruggle | Audiologist | 1213 Hylton Heights Rd, Ste 105, Manhattan, KS 66502-2812 | 2005-06-13 |
1992206965 | Mark J Hatesohl Dc | Chiropractor | 1213 Hylton Heights Rd, Manhattan, KS 66502-2810 | 2018-02-26 |
1295122695 | Hearing Doctors of Kansas Inc | Hearing Aid Equipment | 1213 Hylton Heights Rd, Suite 105, Manhattan, KS 66502-2810 | 2015-04-23 |
1215367552 | Wanda Schumacher | Nurse Practitioner | 1213 Hylton Heights Rd, Suite 109, Manhattan, KS 66502-2810 | 2013-11-23 |
1780832733 | Hearing Doctors of North America LLC | Audiologist | 1213 Hylton Heights Rd, Ste 105, Manhattan, KS 66502-2810 | 2008-09-03 |
1053522441 | Nan L. Ambrosy, Arnp, Pa | Nurse Practitioner | 1213 Hylton Heights Rd, Suite 125, Manhattan, KS 66502-2810 | 2007-05-25 |
1972622637 | Marlies Keogh | Counselor | 1213 Hylton Heights Rd, Ste 125, Manhattan, KS 66502-2810 | 2007-03-27 |
1427135508 | Audiology Center Inc | Audiologist | 1213 Hylton Heights Rd, Suite 105, Manhattan, KS 66502-2810 | 2006-11-01 |
1407933583 | Charles L Gillum | Audiologist | 1213 Hylton Heights Rd, Sutie 105, Manhattan, KS 66502-2810 | 2006-11-01 |
1427154087 | Kenyon Lance Erickson | Chiropractor | 1213 Hylton Heights Rd, Suite 117, Manhattan, KS 66502-2810 | 2006-09-14 |
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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 | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124544481 | Yevgenia Belaya | Specialist | 336 West 37th St., Ste 880, Manhattan, NY 10018 | 2017-08-18 |
1770986309 | Kathleen Sandmann | Specialist | 3049 Tamarak Dr, Manhattan, KS 66503-3124 | 2014-09-26 |
1649207853 | Michael Paul Schuster | Specialist | 1135 Westport Dr, Manhattan, KS 66502-2860 | 2006-06-26 |
1730486457 | Brandon Lee Smith | Specialist | 3244 Kimball Ave, Manhattan, KS 66503 | 2011-02-15 |
1275767576 | Eugene Albert Klingler Jr. | Specialist | 1829 College Ave, Manhattan, KS 66502-3381 | 2009-05-14 |
1942314307 | Advisors Medical PC | Specialist | 1135 Westport Dr, Manhattan, KS 66502-2860 | 2006-08-19 |
1477591634 | William Travis Dierenfeldt | Specialist | 1213 Hylton Heights Rd, Suite 101, Manhattan, KS 66502-2810 | 2006-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710593215 | Latricia Renee Anderson | Specialist | 420 Se 29th St Ste B, Topeka, KS 66605-1191 | 2020-09-20 |
1275158537 | Casey M Emmerich | Specialist | 401 Arkansas St, Lawrence, KS 66044-1338 | 2020-06-12 |
1104475664 | Intangible Inches, LLC | Specialist | 13849 S Mur Len Rd Ste J, Olathe, KS 66062-1664 | 2019-09-08 |
1811455561 | Vordis Behavioral Health | Specialist | 8014 State Line Rd Ste 100, Prairie Village, KS 66208-3712 | 2019-03-12 |
1518409986 | Francis Leo Heisinger | Specialist | 12051 S Summit St, Olathe, KS 66062-4931 | 2016-11-16 |
1821530023 | Abby Henson | Specialist | 530 E Cheyenne St, Gardner, KS 66030-8409 | 2016-11-06 |
1811447048 | Kansas University Physicians, Inc. | Specialist | 7420 Switzer St, Shawnee, KS 66203-4550 | 2016-10-12 |
1639628829 | Tierra Lakes Medical Group, LLC | Specialist | 4969 N Tierra Lakes Pkwy, Bel Aire, KS 67226-3345 | 2016-09-28 |
1265980858 | Bobby Ballesteros | Specialist | 14614 S Brougham Dr, Olathe, KS 66062-2595 | 2016-09-13 |
1235684754 | John Lee Andres | Specialist | 1205 S 1st St, Hiawatha, KS 66434-2730 | 2016-08-25 |
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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.