Individual provider Active NPI

Christopher C Worthen, MD

  • General Practice Physician
  • Clay Center, KS
National Provider Identifier
1336347806
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
04-34421 Issued in KS
Practice address
609 Liberty St
Clay Center, KS 67432-1564
Phone
(785) 632-2181
Fax
(785) 632-2309
NPI assigned
Jul 6, 2007
Last updated
Sep 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 04-34421 KS Primary

Addresses

Primary practice location

609 Liberty St
Clay Center, KS 67432-1564

Mailing address

609 Liberty St
Clay Center, KS 67432-1564
Phone (785) 632-2181

Other identifiers 1

IdentifierTypeStateIssuer
200654950AMedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000878 KS Practitioner - General PracticePractitioner - Family Practice 7012055817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clay County Medical CenterGroup PAC ID 6901959436, shared by 8 NPIs, 44 clinicians

Practice addresses (Care Compare)

609 Liberty St
Clay Center, KS 67432-1564
Phone (785) 632-2181

617 Liberty St
Clay Center, KS 67432-1564
Phone (785) 632-2144

706 3Rd St
Linn, KS 66953-9029
Phone (785) 348-5503

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County Medical Center Current Accepting new patients
Clay County Medical Center CurrentSince Jan 1, 2016 Accepting new patients
Clay County Medical Center Current Accepting new patients
Clay County Medical Center CurrentSince Jan 1, 2016 Accepting new patients

Locations

609 Liberty St
Clay Center, KS 67432
Phone (785) 632-2181

617 Liberty St
Clay Center, KS 67432
Phone (785) 632-2144

105 N High St
Clyde, KS 66938
Phone (785) 446-2226

302 E 1st St
Glasco, KS 67445
Phone (785) 568-2500

706 3rd St
Linn, KS 66953
Phone (785) 345-5503

701 Schurle Way
Riley, KS 66531
Phone (785) 485-2600

Interoperability endpoints

  • Direct secure messaging: christopher.worthen@khindirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1336347806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 LIBERTY ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674321564",
            "telephone_number": "785-632-2181",
            "fax_number": "785-632-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 LIBERTY ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674321564",
            "telephone_number": "785-632-2181",
            "fax_number": "785-632-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "04-34421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200654950A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clay Center, KS

Sources for this page

Verify at the official NPI Registry.