Medicalodges, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N087012 Issued in KS

Legal business name

MEDICALODGES, INC.

Doing business as

Medicalodges Goddard

Practice address

501 Easy St
Goddard, KS 67052-9211

Phone

(316) 794-8635

Fax

(316) 794-3476

NPI assigned

Oct 10, 2006

Last updated

Oct 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cathy W Fisher

Title

Chief Financial Officer

Phone

(620) 251-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medicalodges Goddard Doing business as

Practitioners 1

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.

• Rodney K Bryant, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Wichita, KS
  • NPI 1982654638
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1386732998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 EASY ST",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670529211",
            "telephone_number": "316-794-8635",
            "fax_number": "316-794-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 EASY ST",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670529211",
            "telephone_number": "316-794-8635",
            "fax_number": "316-794-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALODGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "620-251-6700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N087012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107980A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicalodges Goddard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruanna Maki, SLP
• Tim Mathias
• Eric McAnally, DMD
• Katie McClellan, DPT
• Catherine L Meadows
• Medicalodges, Inc. (Medicalodges Goddard)
• Meister, Inc. (Kombo Pharmacy)
• Michael D Gordon DD PA
• Midwest Building Suppy, Inc
• ML-Op Goddard LLC

• Skilled Nursing Facility in Goddard, KS
• Providers in Goddard, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.