Southeast Kansas Orthopedic Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

KS0415445 Issued in KS

Legal business name

SOUTHEAST KANSAS ORTHOPEDIC CLINIC

Practice address

1902 South Highway 59, BLDG D
Parsons, KS 67357

Phone

(620) 421-0881

Fax

(620) 421-8391

NPI assigned

Feb 21, 2007

Last updated

May 16, 2024By 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

Dr. Kevin M Mosier, M.D.NPI 1831195858

Title

President

Phone

(620) 421-0881

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

Practitioners 6

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.

• Kevin M Mosier, MD

  • Orthopaedic Surgery Physician
  • Parsons, KS
  • NPI 1831195858
  Medicare reassignment Care Compare group NPD Authorized official
• Brad R Meister, M.D.

  • Orthopaedic Surgery Physician
  • Parsons, KS
  • NPI 1912903246
  Medicare reassignment Care Compare group NPD
• Ashlyn Marie Rohling, PA-C

  • Physician Assistant
  • Parsons, KS
  • NPI 1184503773
  Medicare reassignment Care Compare group NPD
• Patrick A Webster, P.A.

  • Surgical Physician Assistant
  • Parsons, KS
  • NPI 1366448698
  Medicare reassignment Care Compare group
• John Kevin Taber, PA-C

  • Physician Assistant
  • Allentown, PA
  • NPI 1548294614

  KS

  Medicare reassignment Care Compare group
• Gregory J King, APRN

  • Nurse Practitioner
  • Fort Scott, KS
  • NPI 1255423364
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1386779551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "67357",
            "telephone_number": "620-421-0881",
            "fax_number": "620-421-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 SOUTH HIGHWAY 59, BLDG D",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "67357",
            "telephone_number": "620-421-0881",
            "fax_number": "620-421-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST KANSAS ORTHOPEDIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "MOSIER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-421-0881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "KS0415445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CT1603",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "016425",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100214200A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Smith
• Southeast Kansas Birth to Three Program
• Southeast Kansas Home Health Care, LLC
• Southeast Kansas Independent Living Resource Center Inc
• Southeast Kansas Independent Living Resource Center, Inc. (Independent Strides Home Health Agency)
• Southeast Kansas Rehabilitation Services LLC
• Southeast Respite Services, Inc.
• Shawn W. Southwick, D.O.
• Jill Spencer, LSCSW
• Stover Chiropractic LLC

• Specialist in Parsons, KS
• Providers in Parsons, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.