Cotton-Oneil Clinic Endoscopy Center Rvoc TR

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COTTON-ONEIL CLINIC ENDOSCOPY CENTER RVOC TR

Doing business as

Cotton O'Neil Endoscopy Center

Practice address

720 SW Lane St
Topeka, KS 66606

Phone

(785) 270-4884

Fax

(785) 270-4852

NPI assigned

Feb 27, 2007

Organization subpart

Yes

Parent organization

STORMONT VAIL HEALTHCARE, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Debra Yocum, CPA

Title

Vice President

Phone

(785) 354-9591

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Cotton O'Neil Endoscopy Center Doing business as
• Cotton O'Neil Digestive Health Center Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 17C0001025

Legal name

COTTON O'NEIL CLINIC ENDOSCOPY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 24, 1993

Last certification

Jun 2, 2016

Ownership / control type

Non-Profit

Facility address

720 SW Lane
Topeka, KS 66606

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Stormont Vail Regional

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Stormont-Vail Healthcare Inc

  • Clinical Medical Laboratory
  • Topeka, KS
  • NPI 1194234310

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1033246459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "address_2": "ATTN: CORP FINANCE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041301",
            "telephone_number": "785-354-5620",
            "fax_number": "785-357-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SW LANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66606",
            "telephone_number": "785-270-4884",
            "fax_number": "785-270-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTON-ONEIL CLINIC ENDOSCOPY CENTER RVOC TR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STORMONT VAIL HEALTHCARE, INC.",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "YOCUM",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "785-354-9591",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "112218",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200005760A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cotton O'Neil Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cotton O'Neil Digestive Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Patrick Cote, PA
• Cotton O'Neil Clinic Recovable Trust (Cotton O'Neil Behavioral Health)
• Cotton-O'Neil Clinic Revocable Trust (Cotton O'Neil Lab)
• Cotton-O'Neil Clinic Revocable Trust (Stormont Vail Health DME)
• Cotton-O'Neil Clinic Revocable Trust (Cotton O'Neil)
• Marcie Cottrell
• Amber D Couch
• Martin W Couch, LMHT
• Gerard Coulon, MD
• Brooke Coulson

• Ambulatory Surgical Clinic/Center in Topeka, KS
• Providers in Topeka, KS by specialty
• Ambulatory Surgical Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.