Frank Allen Moorhead Jr., M.D.
Individual provider Active NPI Family Medicine Physician · Neodesha, KS
NPI 1659377992 · NPPES record last updated Jan 11, 2024
Key facts
- NPI
- 1659377992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-13549 (KS)
- Practice address
- 709 Main St
Neodesha, KS 66757-1634 - Phone
- (620) 325-2200
- Fax
- (620) 325-2410
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
709 Main St
Neodesha, KS 66757-1634
Phone (620) 325-2200
Hospital & facility affiliations
- Angels Care Home Health
- Gentiva
- Fredonia Regional Hospital
- Wilson Medical Center
- Labette Health
- Coffeyville Regional Medical Center, Inc
- Medicalodges Independence
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Rural health clinic certification: CCN 178917
- Legal name
- F. ALLEN MOORHEAD JR
- Doing business as
- NEODESHA RURAL HEALTH CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jan 11, 1995
- Last certification
- Jul 30, 2009
- Ownership / control type
- 1A
- Organization structure
- Sole Proprietor · Proprietary
- Enrollment address
- 709 Main St
Neodesha, KS 66757-1634
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Frank Allen Moorhead |
5% Or Greater Direct Ownership Interest |
Nov 8, 2008 | |
| Operational/Managerial Control |
Mar 20, 1973 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041119000623 | KS | Practitioner - Family Practice | 6406811306 |
Receives reassigned benefits from 3 practitioners Practice locations: Neodesha, KS |
| O20081111000037 | KS | Part a Provider - Rural Health Clinic | 1254490949 | Practice locations: Neodesha, KS |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-13549 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RHC F Allen Moorhead Jr MD | Past |
Accepting new patients | |
| F Allen Moorhead Jr | Past |
Accepting new patients | |
| RHC/F. Allen Moorhead Jr. M.D. | Family Medicine | Past |
Accepting new patients |
| Medicalodges, Inc. | Past | Accepting new patients |
Interoperability endpoints
- frank.moorhead@khindirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-13549 | KS | Yes |
Addresses
Primary practice location
709 Main St
Neodesha, KS 66757-1634
Mailing address
709 Main St
PO Box 180
Neodesha, KS 66757-1634
Phone (620) 325-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3200470 | Other | KS | SIGNA HEALTH INS |
| 990009838 | Other | KS | RR MEDICARE/PALMETTO |
| 30004284360001 | Medicaid | KS |
Other names
- F. Allen Moorhead Jr.
Other providers in Neodesha, KS
- Kristopher E Kuszak
- Teresa Katheleen Laforte-Scott
- Miranda S McKellar
- Medicalodges, Inc.
- Angela Millis
- Morningstar Care Homes of Neodesha LLC
- Neodesha Care and Rehabilitation Center, LLC
- Neodesha Operator, LLC
- New Beginnings Enterprises
- Philip Gordon Newkirk
All providers in Neodesha, 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 Jan 11, 2024. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.