Active NPI
Willard B Ransom, M.D.
- Family Medicine Physician
- Ottawa, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-18458
- Practice address
- 1418 S Main St
Suite 5
Ottawa, KS 66067-3543 - Phone
- (785) 242-1620
- Fax
- (785) 242-3825
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-18458 | KS | Primary |
Addresses
Primary practice location
1418 S Main St
Suite 5
Ottawa, KS 66067-3543
Mailing address
1418 S Main St
Suite 5
Ottawa, KS 66067-3543
Phone (785) 242-1620
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4630851 | Other | KS | AETNA |
| 13777014 | Other | KS | KANSAS CITY BC/BS |
| 610221 | Other | KS | HEALTHWAVE |
| 3211285002 | Other | KS | CIGNA PROVIDER NUMBER |
| 01308 | Other | KY | KANSAS BLUE CROSS BLUE SH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-18458 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ottawa Family Physicians, Chartered | Family Medicine | Current | Accepting new patients |
| Ottawa Family Physicians, Chartered | Family Medicine | Current | Accepting new patients |
Locations
1418 S Main St
Ste 5
Ottawa, KS 66067
Phone (785) 242-1620
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ottawa Family Physicians, Chartered | Rural health clinic | 5% Or Greater Direct Ownership Interest General Partnership Interest |
Sep 24, 2010 Jul 26, 1982 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Family Medicine Physician
- Ottawa, KS
- NPI 1477598837
5% Or Greater Direct Ownership Interest, General Partnership Interest
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Ottawa, KS
- NPI 1477598837
-
- Family Medicine Physician
- Ottawa, KS
- NPI 1023558541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1225064801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 S MAIN ST",
"address_2": "SUITE 5",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673543",
"telephone_number": "785-242-1620",
"fax_number": "785-242-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 S MAIN ST",
"address_2": "SUITE 5",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673543",
"telephone_number": "785-242-1620",
"fax_number": "785-242-3825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANSOM",
"first_name": "WILLARD",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-18458",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4630851",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS CITY BC/BS",
"identifier": "13777014",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHWAVE",
"identifier": "610221",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "3211285002",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS BLUE CROSS BLUE SH",
"identifier": "01308",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.