Merrill R Conant, M.D.
Individual provider Active NPI Emergency Medicine Physician · Dodge City, KS
NPI 1194780445 · NPPES record last updated May 12, 2008
Key facts
- NPI
- 1194780445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- AC2832738 (KS)
- Practice address
- 120 W Ross Blvd
Dodge City, KS 67801-2131 - Phone
- (620) 225-1650
- Fax
- (620) 227-2505
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 8
Owned or controlled facilities with NPI records 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonspirit Kansas Inc
Practice addresses (Care Compare)
100 W Ross Blvd
Suite 1B
Dodge City, KS 67801-7217
Phone (620) 371-5576
401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2431
911 N Main St
SCHP Plaza Medical
Garden City, KS 67846-5561
Phone (620) 276-8201
Hospital & facility affiliations
- Hospice of the Prairie
- Health Watch Home Health
- Hospice of the Prairie
- Centura St. Catherine-Dodge City
- St. Catherine Hospital - Garden City
- Trinity Manor
- Manor of the Plains
- Sunporch of Dodge City
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| St. Catherine Hospital - Garden City |
Hospital | Corporate Director | Apr 1, 2025 |
| St. Catherine Hospital - Garden City |
Hospital | Corporate Director | Apr 1, 2025 |
| St. Catherine Hospital - Dodge City |
Hospital | Corporate Director | Apr 1, 2025 |
| St. Catherine Hospital - Dodge City |
Hospital | Corporate Officer | Apr 1, 2025 |
| Bob Wilson Memorial Hospital |
Hospital | Corporate Director | Apr 1, 2025 |
| Bob Wilson Memorial Hospital |
Hospital | Corporate Director | Apr 1, 2025 |
| Bob Wilson Memorial Hospital |
Hospice | Corporate Director | Apr 1, 2025 |
| Family Practice Associates of Western Kansas |
Rural health clinic | Corporate Director | Apr 15, 2003 |
| Bob Wilson Memorial Hospital |
Rural health clinic | Corporate Director | Apr 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080129000715 | KS | Practitioner - Family Practice |
9234048158 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Catherine Hospital | Family Medicine | Current |
Accepting new patients |
| Commonspirit Kansas, Inc. | Family Medicine | Current |
Accepting new patients |
| Commonspirit Kansas, Inc. | Current | Accepting new patients | |
| Commonspirit Kansas, Inc. | Family Medicine | Past | Accepting new patients |
| St. Catherine Hospital | Family Medicine | Past | Accepting new patients |
| Commonspirit Kansas, Inc. | Family Medicine | Past | Accepting new patients |
| Emergency Services of Kansas, PA | Family Medicine | Past | Accepting new patients |
| Dodge City Healthcare Group LLC | Past | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400
100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576
112 W Ross Blvd
Ste A
Dodge City, KS 67801
Phone (620) 225-5496
401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0420546 | KS | |
| Emergency Medicine Physician | 207P00000X | AC2832738 | KS | Yes |
Addresses
Primary practice location
120 W Ross Blvd
Dodge City, KS 67801-2131
Mailing address
120 W Ross Blvd
Dodge City, KS 67801-2131
Phone (620) 225-1650
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100157800F | Medicaid | KS | |
| 1001157800B | Medicaid | KS | |
| 100535 | Other | KS | BCBS |
NPI Registry JSON
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1194780445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W ROSS BLVD",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678012131",
"telephone_number": "620-225-1650",
"fax_number": "620-227-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W ROSS BLVD",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678012131",
"telephone_number": "620-225-1650",
"fax_number": "620-227-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONANT",
"first_name": "MERRILL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "0420546",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "AC2832738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100157800F",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001157800B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "100535",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dodge City, KS
- Commonspirit Kansas, Inc.
- Commonspirit Kansas, Inc.
- Commonspirit Kansas, Inc.
- Communication Matters LLC
- Denise R Conant
- Catherine G Cooke
- Maria C Cooper
- Frank Rodney Copeland
- Timothy G Cornitius
- Kristopher Costello
All providers in Dodge City, KS · Emergency Medicine 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 May 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.