Individual provider Active NPI

Joanne Dorothy Rink, MD

  • Surgery Physician
  • Garden City, KS
National Provider Identifier
1215991963
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0429596 Issued in KS
Practice address
311 E Spruce St
Suite 2a Surgical
Garden City, KS 67846-5614
Phone
(620) 275-3741
Fax
(620) 275-3761
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0429596 KS Primary

Addresses

Primary practice location

311 E Spruce St
Suite 2a Surgical
Garden City, KS 67846-5614

Mailing address

311 E Spruce St
Suite 2a Surgical
Garden City, KS 67846-5614
Phone (620) 275-3741

Other identifiers 1

IdentifierTypeStateIssuer
100419890CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191003003041 AZ Practitioner - General Surgery 7012967664 Reassigns benefits to 2 organizations
I20220715000582 NM Practitioner - General Surgery 7012967664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Regional Health Center Medical Group LLC Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Bullhead City Clinic Corp Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince Aug 2, 2022 Accepting new patients
Bullhead City Clinic Corp Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
Presbyterian Healthcare Services CurrentSince Aug 2, 2022 Accepting new patients

Locations

2755 Silver Creek Rd
Ste 111
Bullhead City, AZ 86442
Phone (928) 444-1491

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

75 Colonia de Salud
Ste 100C
Sierra Vista, AZ 85635
Phone (520) 452-0144

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1215991963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST",
            "address_2": "SUITE 2A SURGICAL",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465614",
            "telephone_number": "620-275-3741",
            "fax_number": "620-275-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST",
            "address_2": "SUITE 2A SURGICAL",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465614",
            "telephone_number": "620-275-3741",
            "fax_number": "620-275-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINK",
        "first_name": "JOANNE",
        "middle_name": "DOROTHY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0429596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100419890C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.