C&S Medical Clinic PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

C&S MEDICAL CLINIC PA

Practice address

2200 Summerlon Circle
Suite a
Dodge City, KS 67801-2905

Phone

(620) 408-9700

Fax

(620) 408-9701

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Chris Sandoval

Title

Office Manager

Phone

(620) 408-9700

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcia Marie Snodgrass, ARNP

  • Women's Health Nurse Practitioner
  • Dodge City, KS
  • NPI 1184617011
  NPD

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1265487359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SUMMERLON CIRCLE",
            "address_2": "SUITE A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012905",
            "telephone_number": "620-408-9700",
            "fax_number": "620-408-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SUMMERLON CIRCLE",
            "address_2": "SUITE A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012905",
            "telephone_number": "620-408-9700",
            "fax_number": "620-408-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&S MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "620-408-9700"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100451610A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Brown
• Vicki M Broz, LMSW
• David Michael Bunkall, D.D.S., M.S.
• Sharon Burgoyne, RD
• Tanya Burkhard, LCPC
• Stephen A Cagle, LSCSW
• Jessica Y Calvo Castanon, M.D.
• Cancer Center of Kansas, P.a.
• Jennifer Ann Canfield, APRN, FNP-C
• Craighton Carey

• Family Medicine Physician in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.