Stonecreek Family Physicians, LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STONECREEK FAMILY PHYSICIANS, LLP

Practice address

4101 Anderson Ave
Manhattan, KS 66503-7588

Phone

(785) 587-4101

Fax

(785) 587-9090

NPI assigned

Aug 16, 2006

Last updated

Sep 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin K Wall, M.D.NPI 1285673087

Title

Partner

Phone

(785) 587-4101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CEIABD

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Renae Cunningham, DO

  • Family Medicine Physician
  • Neodesha, KS
  • NPI 1902855661
  Medicare reassignment Care Compare group NPD
• Debra L Doubek, M.D.

  • Family Medicine Physician
  • Manhattan, KS
  • NPI 1588619910
  Medicare reassignment Care Compare group NPD
• Bethany A Duff, MD

  • Family Medicine Physician
  • Manhattan, KS
  • NPI 1750675724
  Medicare reassignment Care Compare group NPD
• Sarah Gish, MD

  • Internal Medicine Physician
  • Manhattan, KS
  • NPI 1124245915
  Medicare reassignment Care Compare group NPD
• Jason Lyle Hoke, DO

  • Family Medicine Physician
  • Manhattan, KS
  • NPI 1992969661
  Medicare reassignment Care Compare group NPD
• Kent H Kiracofe, M.D.

  • Family Medicine Physician
  • Manhattan, KS
  • NPI 1285689380
  Medicare reassignment Care Compare group NPD
• Ryan C Knopp, M.D.

  • Family Medicine Physician
  • Manhattan, KS
  • NPI 1427003409
  Medicare reassignment Care Compare group NPD
• Jacqi I Lambert, M.D.

  • Family Medicine Physician
  • Manhattan, KS
  • NPI 1467407569
  Medicare reassignment Care Compare group NPD
• Jocelyn Elizabeth Mattoon, MD

  • Family Medicine Physician
  • Manhattan, KS
  • NPI 1407350564
  Medicare reassignment Care Compare group NPD
• Danelle L Perry, MD

  • Family Medicine Physician
  • Manhattan, KS
  • NPI 1881738052
  Medicare reassignment Care Compare group NPD
• Melissa K Rosso, MD

  • Family Medicine Physician
  • Manhattan, KS
  • NPI 1720216708
  Medicare reassignment Care Compare group NPD
• Christopher Hazen Short, M.D.

  • Family Medicine Physician
  • Manhattan, KS
  • NPI 1689024382
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1093828097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 ANDERSON AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037588",
            "telephone_number": "785-587-4101",
            "fax_number": "785-587-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 ANDERSON AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037588",
            "telephone_number": "785-587-4101",
            "fax_number": "785-587-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONECREEK FAMILY PHYSICIANS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "785-587-4101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stigge Vision Care
• Douglas Kent Stigge, O.D.
• Sandra M Stith, PH.D.
• Stone Ridge Therapy Co.
• Faith Stone
• Stoneybrook Assisted Living Operations, LLC (Stoneybrook Assisted Living)
• Stoneybrook Nursing Facility Operations, LLC (Stoneybrook Retirement Community)
• Stoneybrook Retirement
• Barbara Stork, RN
• Christopher Storms

• Family Medicine Physician in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.