Ellsworth Medical Clinic
Organization Active NPI Family Medicine Physician · Ellsworth, KS
NPI 1609877398 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1609877398
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 05-18778 (KS)
- Legal business name
- ELLSWORTH MEDICAL CLINIC
- Practice address
- 1602 N Aylward Ave
Ellsworth, KS 67439-2541 - Phone
- (785) 472-3111
- Fax
- (785) 472-5731
- NPI assigned
- Aug 3, 2005
- Organization subpart
- No
Authorized official
- Name
- Ronald Ned Whitmer, DO
- Title
- Owner
- Phone
- (785) 472-3111
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 05-18778 | KS | Yes |
Addresses
Primary practice location
1602 N Aylward Ave
Ellsworth, KS 67439-2541
Mailing address
1602 N Aylward Ave
PO Box 103
Ellsworth, KS 67439-2541
Phone (785) 472-3111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016513 | Other | KS | BCBS |
Other providers in Ellsworth, KS
- Mychel Toni Dolezal
- Ellsworth County Medical Center
- Ellsworth County Medical Center
- Ellsworth County Medical Center
- Ellsworth County Medical Center
- F & M Drugs L L C
- Kate E Flint
- G Derril Gwinner OD LLC
- Grant Derril Gwinner
- Grant K Gwinner
All providers in Ellsworth, KS · Family Medicine 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 Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.