Individual provider Active NPI

Beth Lawson Oller, MD

  • Family Medicine Physician
  • Plainville, KS
National Provider Identifier
1629236393
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6969 Issued in KS
Practice address
1210 N Washington St
Plainville, KS 67663-1632
Phone
(785) 434-2622
Fax
(785) 434-2577
NPI assigned
May 29, 2008
Last updated
Sep 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6969 KS Primary

Addresses

Primary practice location

1210 N Washington St
Plainville, KS 67663-1632

Mailing address

1210 N Washington St
Plainville, KS 67663-1632
Phone (785) 434-2622

Other identifiers 1

IdentifierTypeStateIssuer
KA2317002OtherKSMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110322001015 KS Practitioner - Family Practice 4587847975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rooks County Health CenterGroup PAC ID 8325959331, shared by 7 NPIs, 40 clinicians

Practice addresses (Care Compare)

107 S Spruce St
Stockton, KS 67669-1200
Phone (785) 425-6921

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6969KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Star Family Practice, P.a. Family Medicine Current Accepting new patients
Rooks County Health Center Family Medicine CurrentSince Mar 12, 2011 Accepting new patients
Rooks County Health Center CurrentSince Mar 12, 2011 Accepting new patients
Daniel J. Sanchez, M.D., P.a. Family Medicine Current Accepting new patients
Niobrara Family Medicine, LLC Family Medicine Current Accepting new patients
Rooks County Health Center Family Medicine CurrentSince Oct 1, 2011 Accepting new patients
Rooks County Health Center Past Accepting new patients

Locations

107 S Spruce St
Stockton, KS 67669
Phone (785) 425-6921

Interoperability endpoints

  • Direct secure messaging: beth.oller@khindirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1629236393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 N WASHINGTON ST",
            "city": "PLAINVILLE",
            "state": "KS",
            "postal_code": "676631632",
            "telephone_number": "785-434-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N WASHINGTON ST",
            "city": "PLAINVILLE",
            "state": "KS",
            "postal_code": "676631632",
            "telephone_number": "785-434-2622",
            "fax_number": "785-434-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLER",
        "first_name": "BETH",
        "middle_name": "LAWSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "6969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "KA2317002",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, KS

Sources for this page

Verify at the official NPI Registry.