NPIMap

Organization Active NPI

South Central Kansas Regional Medical Center

Doing business as SCKC Specialty Clinic

  • Orthopaedic Surgery Physician
  • Arkansas City, KS
National Provider Identifier
1366130585
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER
Doing business as
SCKC Specialty Clinic
Practice address
6403 Patterson Pkwy
Arkansas City, KS 67005-5701
Phone
(620) 447-5711
Fax
(620) 441-5891
NPI assigned
Apr 26, 2023
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Debbie Hockenbury
Title
Cfo
Phone
(620) 442-2500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Podiatrist 213E00000X

Addresses

Primary practice location

6403 Patterson Pkwy
Arkansas City, KS 67005-5701

Mailing address

6403 Patterson Pkwy
Arkansas City, KS 67005-5701
Phone (620) 447-5711

Other practice location 1

485 N Ks Hwy 2
Anthony, KS 67003-2526
Phone (620) 914-1200

Other practice location 2

6401 Patterson Pkwy
Arkansas City, KS 67005-5701
Phone (620) 442-2500

Other practice location 3

761 W 175th St S
Caldwell, KS 67022-8301
Phone (620) 845-6492

Other names 1

  • SCKC Specialty Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000555 KS Part B Supplier - Clinic/Group Practice 1456245802 Receives reassigned benefits from 44 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arkansas City, KS

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Arkansas City Emer7 organizations share this tax ID, including this one
Part of
Arkansas City Emer

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6401 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 441-5798

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1366130585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6403 PATTERSON PKWY",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670055701",
            "telephone_number": "620-447-5711",
            "fax_number": "620-441-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6403 PATTERSON PKWY",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670055701",
            "telephone_number": "620-447-5711",
            "fax_number": "620-441-5891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 N Ks Hwy 2",
            "address_purpose": "LOCATION",
            "city": "Anthony",
            "state": "KS",
            "postal_code": "670032526",
            "country_code": "US",
            "telephone_number": "620-914-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 Patterson Pkwy",
            "address_purpose": "LOCATION",
            "city": "Arkansas City",
            "state": "KS",
            "postal_code": "670055701",
            "country_code": "US",
            "telephone_number": "620-442-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "761 W 175th St S",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "KS",
            "postal_code": "670228301",
            "country_code": "US",
            "telephone_number": "620-845-6492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER",
        "enumeration_date": "2023-04-26",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "HOCKENBURY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-442-2500"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCKC Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCKC Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arkansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.