Donald R. Ransom, D.O.
Individual provider Active NPI Surgery Physician · Medicine Lodge, KS
NPI 1154436251 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1154436251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 0521015 (KS)
- Practice address
- 710 N Walnut St
Medicine Lodge, KS 67104-1019 - Phone
- (620) 886-3948
- Fax
- (620) 886-3034
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0521015 | KS | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0521015 | KS | Yes |
Addresses
Primary practice location
710 N Walnut St
Medicine Lodge, KS 67104-1019
Mailing address
4323 NW Reutlinger
Medicine Lodge, KS 67104-8034
Phone (620) 886-3676
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100230000B | Medicaid | KS |
Other providers in Medicine Lodge, KS
- Medicine Lodge Memorial Hospital
- Medicine Lodge Memorial Hospital
- Medicine Lodge Memorial Hospital
- Medicine Lodge Memorial Hospital
- Medicine Lodge Memorial Hospital Physicians Clinc
- Julie Theresa Thompson
- Connie A Watts
All providers in Medicine Lodge, KS · Surgery Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.