Rhett David Bouziden, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1501058 Issued in KS

Practice address

625 Kentucky St
Ashland, KS 67831-3199

Phone

(620) 635-2241

NPI assigned

Jul 9, 2006

Last updated

Jan 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in KS, OK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ashland District HospitalGroup PAC ID 6800849324, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Health Watch Home Health Home health agency, Meade, KS, CCN 178063
• Ashland Health Center Hospital, Ashland, KS, CCN 171304
• Pratt Regional Medical Center Hospital, Pratt, KS, CCN 170027
• Ashland Health Center Nursing home, CCN 17Z304

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rhett.davidbouziden@khindirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ashland District Hospital

  dba Ashland Health Center-Clinic

  • Clinic/Center
  • Ashland, KS
  • NPI 1073686002
  Medicare reassignment Care Compare group NPD
• Ashland District Hospital

  • Critical Access Hospital
  • Ashland, KS
  • NPI 1265529614
  Medicare reassignment
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809
  Medicare reassignment
• Ashland District Hospital

  dba Ashland Health Center-Clinic

  • Rural Health Clinic/Center
  • Ashland, KS
  • NPI 1659466357
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashland District Hospital

  • Critical Access Hospital
  • Ashland, KS
  • NPI 1265529614
  Care Compare affiliation
• Ashland District Hospital

  dba Ashland Health Center

  • Medicare Defined Swing Bed Hospital Unit
  • Ashland, KS
  • NPI 1568557262

  Nursing home

  Care Compare affiliation
• Health Watch Health Care of West KS, LLC

  • Home Health Agency
  • Meade, KS
  • NPI 1861989402
  Care Compare affiliation
• Pratt Regional Medical Center Corporation

  dba Pratt Regional Medical Center

  • Rural Acute Care Hospital
  • Pratt, KS
  • NPI 1578596904
  Care Compare affiliation

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1164455291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "ASHLAND",
            "state": "KS",
            "postal_code": "678310188",
            "telephone_number": "620-635-2241",
            "fax_number": "620-635-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENTUCKY ST",
            "city": "ASHLAND",
            "state": "KS",
            "postal_code": "678313199",
            "telephone_number": "620-635-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUZIDEN",
        "first_name": "RHETT",
        "middle_name": "DAVID",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1501058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200360070A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ashland.Clinic@Ashland-GPHA.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Ashland Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "625 Kentucky St",
            "city": "Ashland",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678313199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ashland.Hospital@Ashland-GPHA.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Ashland Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "625 Kentucky St",
            "city": "Ashland",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678313199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashland District Hospital (Ashland Health Center-Clinic)
• Ashland District Hospital
• Ashland District Hospital (Ashland Health Center)
• Ashland District Hospital (Ashland Health Center-Clinic)
• Ashland Hospital District #3 (Ashland Health Center)
• Emilie Christean Campbell, CBD, CBE, CBC
• Brianne Clark, D.O.
• Maddison Jean Cortes, LMSW
• County of Clark
• County of Clark (Clark County Ambulance)

• Physician Assistant in Ashland, KS
• Providers in Ashland, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.