DR. JOEL E. WAXMAN (NPI# 1942390398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942390398 |
| Entity Type | Individual |
| Full Name | DR. JOEL E. WAXMAN |
| Credential | MD |
| Practice Address |
1301 S Main St Ottawa KS 66067-3537 |
| Mailing Address |
Po Box 460 Ottawa KS 66067-0460 |
| Practice Telephone | 7852424575 |
| Practice Fax Number | 7852293335 |
| Mailing Telephone | 7852293367 |
| Mailing Fax Number | 7852298461 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2012-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 0433800 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200611240A | 05 |
| Street Address |
1301 S MAIN ST |
| City | OTTAWA |
| State | KS |
| Zip Code | 66067-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545671 | Rodney Tay Mccalla | Surgery | 1301 S Main St, Ottawa, KS 66067-3537 | 2005-08-16 |
| 1407319957 | Adventhealth Ransom Memorial, Inc. | Family Medicine | 1301 S Main St, Ottawa, KS 66067-3537 | 2019-04-11 |
| 1972063758 | Adventhealth Ransom Memorial, Inc. | General Acute Care Hospital | 1301 S Main St, Ottawa, KS 66067-3537 | 2019-03-20 |
| 1659844272 | Kristyn Watts | Specialist/Technologist | 1301 S Main St, Ottawa, KS 66067-3537 | 2019-01-07 |
| 1760725154 | David Patrick Bowers Jr. | Pharmacist | 1301 S Main St, Ottawa, KS 66067-3537 | 2013-04-03 |
| 1962713545 | Brenda Lynn Pfizenmaier | Dietitian, Registered | 1301 S Main St, Ottawa, KS 66067-3537 | 2010-06-29 |
| 1811101652 | Ransom Memorial Hospital | Medicare Defined Swing Bed Unit | 1301 S Main St, Ottawa, KS 66067-3537 | 2007-05-10 |
| 1003030875 | Nancy Ann Falkner | Physical Therapist | 1301 S Main St, Ottawa, KS 66067-3537 | 2007-04-12 |
| 1265551873 | Farhan Ahmed Sheikh | Psychiatry & Neurology | 1301 S Main St, Ottawa, KS 66067-3537 | 2007-03-28 |
| 1164509063 | Christine A Stewart | Physical Therapist | 1301 S Main St, Ottawa, KS 66067-3537 | 2006-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482870 | Katie Jean Turpin | Occupational Therapist | 3901 S Main St, Ottawa, KS 66067 | 2020-03-18 |
| 1619526464 | Jennifer Raybern | Specialist/Technologist | 1001 S Cedar St, Ottawa, KS 66067 | 2019-09-04 |
| 1508419938 | Custom Dental of Ottawa, Pa | Clinic/Center | 2030 S Princeton St, Ottawa, KS 66067 | 2019-07-24 |
| 1861948507 | Jeffrey Byrne Kelley | Pharmacist | 2101 S Princeton Rd, Ottawa, KS 66067 | 2016-09-01 |
| 1619185188 | Vintage Park At Ottawa LLC | Assisted Living Facility | 2250 S Elm St, Ottawa, KS 66067 | 2007-05-18 |
| 1356423495 | Ottawa Oral Surgery Lc | Dentist | 107 E 23rd St, Ste 3 Ottawa Oral Surgery Lc, Ottawa, KS 66067 | 2006-10-19 |
| 1669564332 | Sandra K Staneart | Nurse Practitioner | 1302 South Main St, Suite 1, Ottawa, KS 66067 | 2006-09-29 |
| 1467553214 | Nancy L Pauw | Social Worker | 2476 Reno Rd, Ottawa, KS 66067 | 2006-09-26 |
| 1700847043 | T.a. Rainbolt, Dds, P.a. | Dentist | 1334 S. Main Street, Ottawa, KS 66067 | 2006-03-28 |
| 1659341634 | Milton Laverne Sampson | Nurse Anesthetist, Certified Registered | 1301 S Main, Ottawa, KS 66067 | 2006-01-24 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306997911 | Chin W Swong | Otolaryngology | 1050 E Norris Dr, Ottawa, IL 61350 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1811305576 | Roland Dean Williams | Otolaryngology | 6517 Aberdeen Rd, Mission Hills, KS 66208-1822 | 2014-07-25 |
| 1336570019 | Mario J Guastello | Otolaryngology | 2308 Arno Rd, Mission Hills, KS 66208-2251 | 2013-12-06 |
| 1356783286 | Susan B. Allen Memorial Hospital | Otolaryngology | 700 W Central Ave Ste 202, El Dorado, KS 67042-2186 | 2013-07-19 |
| 1477998284 | Carson Tyler Williams | Otolaryngology | 5370 College Blvd Ste 100, Overland Park, KS 66211-1891 | 2013-05-07 |
| 1821376435 | Javier Cremer | Otolaryngology | 8901 W 74th St Ste 145, Merriam, KS 66204-2271 | 2011-07-31 |
| 1619294972 | Forrest Haroy Kendall Jr. | Otolaryngology | 2505 West 71st Street, Prairie Village, KS 66208 | 2010-04-27 |
| 1871821876 | Richard J Cummings | Otolaryngology | 1258 Burning Tree Drive, Wichita, KS 67230-1410 | 2009-12-02 |
| 1710116215 | Konstantinos Kourelis | Otolaryngology | Dept of Otolaryngology Head and Neck Surgery, 3901 Rainbow Boulevard, Kansas City, KS 66160-0001 | 2009-07-07 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
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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.