Mary L Rardin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4-17908 Issued in KS

Practice address

801 S 8TH St
Atchison, KS 66002-2724

Phone

(913) 426-5225

Fax

(913) 871-7035

NPI assigned

Mar 7, 2006

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/88f6f0ad-680b-460f-ba7c-9dd496dece04/
• Direct secure messaging: mary.rardin@khindirect.org

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.

• Jefferson County Memorial Hospital

  dba F. W. Huston Medical Center

  • Psychiatry Physician
  • Nortonville, KS
  • NPI 1215459367
  NPD
• Jefferson County Memorial Hospital, Inc

  dba Jefferson Medical Clinic

  • Physician Assistant
  • Winchester, KS
  • NPI 1750354908
  NPD
• Central Kansas Medical Center

  dba St Joseph Family Medicine/Great Bend

  • Family Medicine Physician
  • Great Bend, KS
  • NPI 1467402040
  NPD (past)
• Jefferson County Memorial Hospital

  dba Jefferson Medical Clinic Valley Falls

  • Multi-Specialty Clinic/Center
  • Valley Falls, KS
  • NPI 1265739288
  NPD (past)
• Phillips County Hospital

  dba d/b/a Phillips County Medical Clinic

  • Rural Health Clinic/Center
  • Phillipsburg, KS
  • NPI 1366499717
  NPD (past)
• Northwest Health Services Inc

  dba Downtown Health Center

  • Federally Qualified Health Center (FQHC)
  • Saint Joseph, MO
  • NPI 1538059118

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1548237753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S 8TH ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022724",
            "telephone_number": "913-426-5225",
            "fax_number": "913-871-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S 8TH ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022724",
            "telephone_number": "913-426-5225",
            "fax_number": "913-871-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RARDIN",
        "first_name": "MARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "4-17908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100171740C",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.rardin@khindirect.org",
            "affiliation": "N",
            "endpointDescription": "KS HIN",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "408 Delaware",
            "city": "Winchester",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660974003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sammy Peterson, RN
• Brandon Oneal Pokrandt, ATC, LAT
• Melinda Pregont, D.C.
• Nancy T Prohaska, RPH
• Michelle J Pruessner, PA-C
• Allen Bley Reavis, DDS
• Micah Reece, CRNA, DNP
• Roger I. Reynolds, RPH
• Reynolds' Co Inc
• Larissa Maria Rice, D.C.

• Family Medicine Physician in Atchison, KS
• Providers in Atchison, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.