Central Care PA
Organization Active NPI Radiation Oncology Physician · El Dorado, KS
NPI 1497617286 · NPPES record last updated Dec 1, 2025
Key facts
- NPI
- 1497617286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- Legal business name
- CENTRAL CARE PA
- Practice address
- 720 W Central Ave
El Dorado, KS 67042-2112 - Phone
- (316) 321-8780
- NPI assigned
- Dec 1, 2025
- Organization subpart
- No
Authorized official
- Name
- Candice Evans
- Title
- Credentialing Specialist
- Phone
- (620) 603-8846
Other NPIs on the same Medicare enrollment 9
Corporate family (same tax ID) 19
Practitioners 27
-
Kandi L Arwine, FNP-C
-
Elizabeth A Berger, PA-C
-
Elshami M Elamin, MD
-
Mark Fesen, MD
-
Omoruyi C Irabor, MD, MPH
-
Hannah R Schmidt, DNP-C
-
Ali Wazir, MD
-
Jennifer A Bushre, APRN, NP
-
Bethany M Martin, FNP-C
-
Bailey D Shunyakov, APRN, NP-C
-
Leonid Shunyakov, MD
-
Erin Stilson, APRN
-
Gina Nicole Viser, FNP-C
-
Luis Alfredo Lopez, M.D.
-
Terence Aik-Huang Tan, M.B. B.CH. B.A.O.
-
Ibrahim Abdalla, M.D.
-
John W Clouse, M.D.
-
Shamila Garg, MD
-
Mark J Jarek, MD
-
Teresa Barr Jolley, PA-C
-
Lydia Novruzov, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031120000823 | KS | Part B Supplier - Clinic/Group Practice | 7911801014 |
Receives reassigned benefits from 11 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Scott City, KS; Salina, KS; Newton, KS; Garden City, KS; Emporia, KS; El Dorado, KS; Great Bend, KS |
National Provider Directory
- Tax ID family
- Invalid Entry
Locations
100 E College Dr
Ste 200
Colby, KS 67701
Phone (785) 460-5686
8919 Parallel Pkwy
Ste 250
Kansas City, KS 66112
Phone (913) 335-6000
555 W 15th St
Ste 3
Liberal, KS 67901
Phone (620) 624-4700
1156 S Clifton Ave
Wichita, KS 67218
Phone (316) 942-7016
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician |
2085R0001X | Yes |
Addresses
Primary practice location
720 W Central Ave
El Dorado, KS 67042-2112
Mailing address
PO Box 256
Salina, KS 67402-0256
Phone (785) 823-0633
Other names
- Central Care Cancer Center
Other providers in El Dorado, KS
- Butler County Clerk
- Butler County Family Medicine, PA
- Butler County Surgical Group, PA
- Stephani Lin Caliendo
- Cancer Center of Kansas, P.a.
- Central Kansas Podiatry Associates
- Robert Chavana
- Austin Michael Chinberg
- Chiropractic Health Center
- Chiropractic Health Center, LLC
All providers in El Dorado, KS · Radiation Oncology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.