SUSAN B. ALLEN MEMORIAL HOSPITAL (NPI# 1922431329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922431329 |
| Entity Type | Organization |
| Organization Name | SUSAN B. ALLEN MEMORIAL HOSPITAL |
| Other Organization Name | BLUESTEM ORTHOPEDICS |
| Practice Address |
700 W Central Ave Ste 108 El Dorado KS 67042-2187 |
| Practice Telephone | 3163218757 |
| Practice Fax Number | 3163218774 |
| Mailing Telephone | 3163218757 |
| Mailing Fax Number | 3163218774 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2017-06-09 |
| Authorized Official Name | MR. JAMES KIRKBRIDE (PRESIDENT & CEO) |
| Authorized Official Telephone | 3163224577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 04-35007 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100012780H | 05 |
| Other Name | Type Code |
|---|---|
| Bluestem Orthopedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124594957 | Susan B. Allen Memorial Hospital | Emergency Medicine | 700 W Central Ave Ste 103, El Dorado, KS 67042-2187 | 2018-10-19 |
| 1588156574 | Susan B. Allen Memorial Hospital | Clinic/Center | 2710 W Central Ave, El Dorado, KS 67042-3285 | 2018-06-05 |
| 1003338914 | Susan B. Allen Memorial Hospital | Preventive Medicine | 720 W Central Ave Ste 111, El Dorado, KS 67042-2112 | 2017-07-12 |
| 1457766800 | Susan B. Allen Memorial Hospital | Family Medicine | 401 W 7th Ave, Augusta, KS 67010-1309 | 2014-06-24 |
| 1356783286 | Susan B. Allen Memorial Hospital | Otolaryngology | 700 W Central Ave Ste 202, El Dorado, KS 67042-2186 | 2013-07-19 |
| 1285870618 | Susan B. Allen Memorial Hospital | Family Medicine | 700 W Central Ave Ste 204, El Dorado, KS 67042-2186 | 2009-01-07 |
| 1700994977 | Susan B. Allen Memorial Hospital | Pharmacy | 720 W. Central Ave, El Dorado, KS 67042-2144 | 2006-08-28 |
| 1144724667 | Susan B. Allen Memorial Hospital | Audiologist | 700 W Central Ave Ste 202, El Dorado, KS 67042-2186 | 2018-03-20 |
| 1104349067 | Susan B. Allen Memorial Hospital | Hospitalist | 720 W Central Ave, El Dorado, KS 67042-2112 | 2017-07-24 |
| 1922520832 | Susan B. Allen Memorial Hospital | Family Medicine | 401 W 7th Ave, Augusta, KS 67010-1309 | 2017-07-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUSAN B. ALLEN MEMORIAL HOSPITAL, THE | 720 W Central Ave, El Dorado, KS 67042-2112 |
| Street Address |
700 W CENTRAL AVE STE 108 |
| City | EL DORADO |
| State | KS |
| Zip Code | 67042-2187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
| 1902262355 | Lisbeth Leiber | Nurse Practitioner | 1737 Se Hwy 54, El Dorado, KS 67042 | 2016-01-14 |
| 1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
| 1962608893 | South Central Mental Health Counseling Center Inc | Social Worker | 120 S Gordy, 3, El Dorado, KS 67042 | 2007-06-26 |
| 1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
| 1548388598 | Richard Alan Burton | Dentist | 310 Oil Hill Road, El Dorado, KS 67042 | 2007-03-27 |
| 1710002472 | Tender Care Pediatrics Pa | Pediatrics | 700 W. Central Ave, Ste 210, El Dorado, KS 67042 | 2007-03-20 |
| Find all providers in zip 67042 | ||||
| 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 |
|---|---|---|---|---|
| 1629003223 | Gerard Fernandez Librodo | Orthopaedic Surgery | 700 W Central Ave Ste 105, El Dorado, KS 67042-2187 | 2006-07-11 |
| 1013954817 | D'orsay D. Bryant, IIi, Md, Pa | Orthopaedic Surgery | 619 Thompson Ave, El Dorado, AR 71730-4557 | 2006-06-01 |
| 1740751981 | Gregg L Massanelli Mdpa | Orthopaedic Surgery | 2700 Vine St, El Dorado, AR 71730-6700 | 2018-12-16 |
| 1194247007 | Susan B. Allen Memorial Hospital | Orthopaedic Surgery | 700 W Central Ave Ste 105, El Dorado, KS 67042-2187 | 2017-07-12 |
| 1194256198 | Flint Hills Orthopaedics Pa | Orthopaedic Surgery | 700 W Central Ave, Suite 206, El Dorado, KS 67042-2184 | 2017-03-22 |
| 1609813401 | D'orsay D Bryant IIi | Orthopaedic Surgery | 619 Thompson Ave, El Dorado, AR 71730-4557 | 2006-06-01 |
| 1144212226 | Lawrence P Shank | Orthopaedic Surgery | 700 W Central Ave, Suite 108, El Dorado, KS 67042-2184 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679034722 | Oks Care of Ks, LLC | Orthopaedic Surgery | 10650 Roe Ave, Overland Park, KS 66207-3907 | 2019-03-29 |
| 1598226383 | Advanced Orthopedics and Sports Medicine | Orthopaedic Surgery | 12330 Metcalf Ave Ste 400, Overland Park, KS 66213-1307 | 2019-03-26 |
| 1124569900 | Allen County Community College | Orthopaedic Surgery | 1801 N Cottonwood St, Iola, KS 66749-1648 | 2017-03-14 |
| 1124563093 | Tallgrass Orthopedic and Sports Medicine LLC | Orthopaedic Surgery | 6730 Sw Mission View Dr, Suite 200, Topeka, KS 66614-5652 | 2016-12-30 |
| 1104253343 | Fred Rice | Orthopaedic Surgery | 8919 Parallel Pkwy Ste 270, Kansas City, KS 66112-1655 | 2013-10-02 |
| 1194157578 | Thomas L Schmidt | Orthopaedic Surgery | 8925 Linden Ln, Prairie Village, KS 66207-2284 | 2013-08-07 |
| 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 |
| 1215373196 | Brandon Lee Morris | Orthopaedic Surgery | 1902 S Hwy 59 Bldg D, Parsons, KS 67357-4955 | 2013-05-17 |
| 1083954176 | Timothy Aaron Hawkes | Orthopaedic Surgery | 520 S Santa Fe Ave Ste 240, Salina, KS 67401-4190 | 2013-02-26 |
| Find all providers with the same taxonomy | ||||
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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.