David W Niederee (NPI# 1306855069, PAC ID# 6204720378) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1306855069 |
| PAC ID by PECOS | 6204720378 |
| Professional Enrollment ID | I20050620000627 |
| Full Name | David W Niederee |
| Organization Legal Name | FAMILY MEDCENTERS PA |
| Address |
1101 N Rock Rd Derby KS 67037-3705 |
| Phone Number | 31678869631150 |
| Gender | M |
| Credential | MD |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4688568751 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170122 | VIA CHRISTI HOSPITAL-WICHITA |
| 170204 |
| Address | Phone | Organization |
|---|---|---|
| 1101 N Rock Rd, Derby, KS 67037-3705 | 31678869631150 | FAMILY MEDCENTERS PA |
| Organization Legal Name | FAMILY MEDCENTERS PA |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Antonio L Carro | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Ted C Snodgrass | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Marty W Turner | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Jill D Howe | Physical Therapy | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Jennifer Lynn Erker | Nurse Practitioner | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Brian G Comer | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| David K Kortje | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Gregory Thomas Bongers | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Craig R Parman | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Lorraine Alvarado | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Street Address |
1101 N ROCK RD |
| City | DERBY |
| State | KS |
| Zip | 67037-3705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Antonio L Carro | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Ted C Snodgrass | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Marty W Turner | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Jill D Howe | Physical Therapy | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Jennifer Lynn Erker | Nurse Practitioner | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Brian G Comer | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| David K Kortje | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Gregory Thomas Bongers | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Craig R Parman | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Lorraine Alvarado | Family Medicine | Family Medcenters Pa | 1101 N Rock Rd, Derby, KS 67037-3705 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke B Dopps | Chiropractic | 620 N Baltimore Ave B, Derby, KS 67037-1600 | |
| Dan F Smith | Chiropractic | 607 N Baltimore Ave, Derby, KS 67037-1607 | |
| Katie L Carmer | Certified Registered Nurse Anesthetist (crna) | Special Anesthesia Services Pa | 727 N Baltimore, Suite 100, Derby, KS 67037-1609 |
| Abbey D Travis | Certified Registered Nurse Anesthetist (crna) | Special Anesthesia Services Pa | 727 N Baltimore, Suite 100, Derby, KS 67037-1609 |
| Jenni K Ehling | Certified Registered Nurse Anesthetist (crna) | Special Anesthesia Services Pa | 727 N Baltimore, Suite 100, Derby, KS 67037-1609 |
| Glenn K Sherwood | Clinical Social Worker | 425 N Baltimore Ave, Suite 1, Derby, KS 67037-1625 | |
| Jesus E Val Mejias | Cardiovascular Disease (cardiology) | 1001 N Buckner St, Derby, KS 67037-1824 | |
| Michelle R Brown | Cardiovascular Disease (cardiology) | Essential Health and Wellness LLC | 1001 N Buckner St, Derby, KS 67037-1824 |
| Jason P Camblin | Physical Therapy | Ascension Via Christi Rehabilitation Hospital Inc | 1640 E Tall Tree Rd, Via Christi Therapy Center, Derby, KS 67037-2000 |
| Brenda J Fink | Occupational Therapy | Ascension Via Christi Rehabilitation Hospital Inc | 1640 E Tall Tree Rd, Via Christi Therapy Center, Derby, KS 67037-2000 |
| Find all physicians in zip 67037 | |||
| City | DERBY |
| Zip Code | 67037 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DERBY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David W Niederee.
| 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.