PEGASUS EMERGENCY PHYSICIANS, LLC (NPI# 1932652773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932652773 |
| Entity Type | Organization |
| Organization Name | PEGASUS EMERGENCY PHYSICIANS, LLC |
| Practice Address |
315 W 15th St Liberal KS 67901-2455 |
| Mailing Address |
Po Box 98997 Las Vegas NV 89193-8997 |
| Practice Telephone | 4694012386 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | MARK JEFFREY SLEPIN (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
315 W 15TH ST |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033180054 | Carmelita Caedo Md Radiology Pa | Radiology | 315 W 15th St, Liberal, KS 67901-2455 | 2006-01-28 |
| 1942867627 | Rachel Andreas | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2019-05-28 |
| 1285291955 | Lauren Taylor Boyce | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2019-05-28 |
| 1306329438 | Marlon S Bazan | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2018-09-14 |
| 1548743636 | Elyse A Bigler | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2018-09-13 |
| 1730674235 | Southwest Radiological Consultants LLC | Radiology | 315 W 15th St, Liberal, KS 67901-2455 | 2018-06-27 |
| 1568979557 | Southwest Medical Center | Anesthesiology | 315 W 15th St, Liberal, KS 67901-2455 | 2017-12-29 |
| 1083124481 | Unnati Basnyat | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2017-10-11 |
| 1720435746 | Bishal Bista | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2016-05-19 |
| 1578950119 | Bereket T Woldemariam | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2015-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649541046 | Rural Kansas Emergency Physicians LLC | Emergency Medicine | 315 W 15th St, Liberal, KS 67901-2455 | 2012-01-18 |
| 1720029069 | James Mitchell Wiley | Emergency Medicine | 315 W 15th Street, Liberal, KS 67901 | 2006-06-09 |
| 1669412284 | Earl James Fitzgerald | Emergency Medicine | 315 W 15th Street, Liberal, KS 67901 | 2006-06-08 |
| 1144260753 | Southwest Medical Center | Emergency Medicine | 315 W 15th Street, Liberal, KS 67901 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912563701 | Catherine Edwards Waldrop | Emergency Medicine | 5914 Johnson Dr, Mission, KS 66202-3329 | 2019-05-16 |
| 1841754660 | Cep America - Kansas, LLC | Emergency Medicine | 3251 N Rock Rd, Derby, KS 67037-3850 | 2019-01-25 |
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1417400235 | Medexpress Urgent Care Kansas, P.a. | Emergency Medicine | 1261 N Maize Road, Wichita, KS 67212-4302 | 2016-07-28 |
| 1710340443 | Medexpress Urgent Care Kansas, P.a. | Emergency Medicine | 2001 N Rock Road, Derby, KS 67037-3795 | 2016-03-31 |
| 1326433277 | Medexpress Urgent Care Kansas, P.a. | Emergency Medicine | 3420 W 6th St, Lawrence, KS 66049-3215 | 2015-03-30 |
| 1295146223 | Logan Robert Gorges | Emergency Medicine | 814 Marshall Dr, Fort Riley, KS 66442 | 2014-05-13 |
| 1063751352 | Runway Emergency Physicians LLC | Emergency Medicine | 8714 W 13th St N, Wichita, KS 67212-6221 | 2013-02-06 |
| 1982909891 | Mark Joshua Foland | Emergency Medicine | 8929 Parallel Parwkay, Attn: Emergency Department, Kansas City, KS 66112 | 2011-01-24 |
| 1194031542 | Kyung Hun Nam | Emergency Medicine | 3901 Rainbow Blvd - Ms1045, Kansas City, KS 66160 | 2010-08-24 |
| 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.