Charles Ray Keener (NPI# 1174606826, PAC ID# 2365456373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1174606826 |
| PAC ID by PECOS | 2365456373 |
| Professional Enrollment ID | I20060130000357 |
| Full Name | Charles Ray Keener |
| Organization Legal Name | UKHS GREAT BEND, LLC |
| Address |
3515 Broadway Ave Great Bend KS 67530-3633 |
| Phone Number | 7856502738 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5597016378 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170191 | GREAT BEND REGIONAL HOSPITAL |
| 171301 | ELLINWOOD DISTRICT HOSPITAL |
| 171345 | PAWNEE VALLEY COMMUNITY HOSPITAL |
| 171333 | CLARA BARTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3515 Broadway Ave, Great Bend, KS 67530-3633 | 7856502738 | UKHS GREAT BEND, LLC |
| Organization Legal Name | UKHS GREAT BEND, LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Bickle | Nurse Practitioner | Ukhs Great Bend, LLC | 514 Cleveland St, Great Bend, KS 67530-3562 |
| Jason E Kimm | Nurse Practitioner | Ukhs Great Bend, LLC | 514 Cleveland St, Great Bend, KS 67530-3562 |
| James Arthur Mcreynolds | Internal Medicine | Ukhs Great Bend, LLC | 3515 Broadway Ave, Great Bend, KS 67530-3633 |
| Dodie L Martin | Physician Assistant | Ukhs Great Bend, LLC | 3515 Broadway Ave, Great Bend, KS 67530-3633 |
| Heather J Bastian | Nurse Practitioner | Ukhs Great Bend, LLC | 514 Cleveland St, Great Bend, KS 67530-3562 |
| Kristin L Babcock | Physician Assistant | Ukhs Great Bend, LLC | 3515 Broadway Ave, Great Bend, KS 67530-3633 |
| Jeanne L Habash | Physician Assistant | Ukhs Great Bend, LLC | 3515 Broadway Ave, Great Bend, KS 67530-3633 |
| Stanley M Hatesohl | Family Medicine | Ukhs Great Bend, LLC | 514 Cleveland St, Great Bend, KS 67530-3562 |
| Ashley R Vonada | Physician Assistant | Ukhs Great Bend, LLC | 3515 Broadway Ave, Great Bend, KS 67530-3633 |
| Debbie S Tomlinson | Nurse Practitioner | Ukhs Great Bend, LLC | 514 Cleveland St, Great Bend, KS 67530-3562 |
| Street Address |
3515 BROADWAY AVE |
| City | GREAT BEND |
| State | KS |
| Zip | 67530-3633 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James E Dredla | Certified Registered Nurse Anesthetist (crna) | State of South Dakota | 3515 Broadway Ave, Yankton, SD 57078-4917 |
| James Arthur Mcreynolds | Internal Medicine | Ukhs Great Bend, LLC | 3515 Broadway Ave, Great Bend, KS 67530-3633 |
| Dodie L Martin | Physician Assistant | Ukhs Great Bend, LLC | 3515 Broadway Ave, Great Bend, KS 67530-3633 |
| Bradley J. Kleinsasser | Psychiatry | State of South Dakota | 3515 Broadway Ave, Yankton, SD 57078-4917 |
| John M Henderson | Psychiatry | State of South Dakota | 3515 Broadway Ave, Yankton, SD 57078-4917 |
| Kristin L Babcock | Physician Assistant | Ukhs Great Bend, LLC | 3515 Broadway Ave, Great Bend, KS 67530-3633 |
| Jeanne L Habash | Physician Assistant | Ukhs Great Bend, LLC | 3515 Broadway Ave, Great Bend, KS 67530-3633 |
| Ashley R Vonada | Physician Assistant | Ukhs Great Bend, LLC | 3515 Broadway Ave, Great Bend, KS 67530-3633 |
| Lisa C Amiotte | Psychiatry | State of South Dakota | 3515 Broadway Ave, Yankton, SD 57078-4917 |
| Haley Ann Gleason | Nurse Practitioner | Ukhs Great Bend, LLC | 3515 Broadway Ave, Great Bend, KS 67530-3633 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charise R Oelger | Physician Assistant | Heart of Kansas Family Health Care Inc | 1905 19th St, Great Bend, KS 67530-2502 |
| Michael E Williams | Psychiatry | Heart of Kansas Family Health Care Inc | 1905 19th St, Great Bend, KS 67530-2502 |
| Rita A Ogwin | Clinical Social Worker | Heart of Kansas Family Health Care Inc | 1905 19th St, Great Bend, KS 67530-2502 |
| Carie E Brown | Clinical Social Worker | Heart of Kansas Family Health Care Inc | 1905 19th St, Great Bend, KS 67530-2502 |
| Vivian J Pfister | Clinical Social Worker | Heart of Kansas Family Health Care Inc | 1905 19th St, Great Bend, KS 67530-2502 |
| Arika C Fanshier | Nurse Practitioner | Heart of Kansas Family Health Care Inc | 1905 19th St, Great Bend, KS 67530-2502 |
| Amy N Wetzel | Nurse Practitioner | Heart of Kansas Family Health Care Inc | 1905 19th St, Great Bend, KS 67530-2502 |
| Charles Lee Craig | Physician Assistant | Heart of Kansas Family Health Care Inc | 1905 19th St, Great Bend, KS 67530-2502 |
| Jean Pringle | Internal Medicine | Heart of Kansas Family Health Care Inc | 1905 19th St, Great Bend, KS 67530-2502 |
| Jacqueline J Reed | Nurse Practitioner | Heart of Kansas Family Health Care Inc | 1905 19th St, Great Bend, KS 67530-2502 |
| Find all physicians in zip 67530 | |||
| City | GREAT BEND |
| Zip Code | 67530 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GREAT BEND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles Ray Keener.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.